Primary Adenocarcinoma of the Vagina

Primary Adenocarcinoma of the Vagina
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原发性阴道腺癌

DOI:
10.1177/003591576706001029
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发表时间:
1967
期刊:
Proceedings of the Royal Society of Medicine
影响因子:
--
通讯作者:
D. Bamford
D. Bamford
中科院分区:
--
文献类型:
--
作者:
D. Bamford

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案例3 S女士,67岁。家庭主妇病史:三个月前发现左侧外阴有肿块,对抗生素没有反应。检查:大肿块累及左侧大唇并延伸至坐骨直肠窝。没有腺体。所有调查都正常。手术(6.8.65):仅活检炎性组织。6周后,进一步行腹股沟腺体活检和切除。组织学:低分化肿瘤,有梭形细胞外观,但无横纹。其他地方的细胞更多的是球形的,有非常开放的囊状核,通常是卷曲的外观。被认为是网状肉瘤(图5和图6)。治疗:会和腹股沟腺体放射治疗6,250 r。10个月后,她死于局部和远处转移。
Case 3 MrsM S aged 67. Housewife History: Three months ago noticed lump in left side of vulva which did not respond to antibiotics. On examination: Large mass involving left labium majus and extending into ischiorectal fossa. No glands. All investigations normal. Operation( 6.8.65): Biopsy inflammatory tissue only. Six weeks later further biopsy and excision of groin gland. Histology: A poorly differentiated neoplasm with spindle cell appearance but no cross-striations. Elsewhere cells more spheroidal with very open vesicular nuclei often of convoluted appearance. Considered to be a reticulosarcoma (Figs 5 and 6). Treatment: Radiotherapy 6,250 r to perineum and inguinal glands. She died ten months later with local and distant metastases.