Vulvar Adenoid 囊性癌与状细胞癌组成部分
Aya Han1,2, Seiya Kato3, Keigo Morinaga1,2
1Department of Plastic and Reconstructive Surgery, Maxillofacial Surgery, Kurume University School of Medicine.
The Kurume medical journal
|January 17, 2024
概括
这项研究报告了一种罕见的腺囊性癌 (ACC) 病例,其中状细胞癌 (SCC) 组成部分. 它强调了ACC有可能脱而成高档SCC的潜力,即使是在长期存在的体质量中.
科学领域:
- 妇科瘤学 妇科瘤学
- 病理学 病理学 病理学
- 在瘤学瘤学.
背景情况:
- 腺状囊性癌 (ACC) 是一种罕见的性恶性瘤.
- 偶尔,ACC会变成高等级的癌症,通常是cribriform或固体类型.
- 状细胞癌 (SCC) 是 vulvar ACC 的一个特殊的不分化组成部分.
研究的目的:
- 报告一个独特的 vulva ACC 病例,其中 SCC 组件没有分化.
- 讨论惰的ACC的潜在脱差成高等级的SCC.
- 为了突出长期存在的质群体中高度脱差的发生.
主要方法:
- 一个78岁的女性的病例介绍,她患有阴道结节.
- 磁共振成像 (MRI) 用于瘤表征.
- 最大瘤切除和组织学检查.
- 对类似记录的案例进行文献审查.
主要成果:
- 组织学分析显示, vulva 瘤具有 ACC 和 SCC 组分.
- 病人被诊断出患有IB期的癌,可能起源于巴托林腺.
- 患者在没有进一步治疗的情况下,在手术后的2年内保持无疾病状态.
- 没有先前的文献专门记录了部ACC脱差为高等级SCC.
结论:
- 缓慢渐进的,惰的阴道ACC可能会分化为高等级的SCC.
- 阴道ACC转化为SCC的脱差是一种罕见的现象,但应考虑长期存在的阴道质量.
- 这个病例代表了 vulva ACC 的第一个有高等级 SCC 组成部分的记录.
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