结肠癌伪装成阴道出血
Madhu Muralee1, M Srinidhi1, V M Bharath2
1Division of Surgical Oncology, Regional Cancer Centre, Trivandrum, Kerala, India.
从结直肠癌中分离的阴道转移是罕见的,但可以控制的. 手术切除,化疗和放射治疗为这种罕见的表现提供了合理的结果,强调了对寡头转移性疾病的治疗意图.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 妇科瘤学 妇科瘤学
背景情况:
- 来自结直肠癌的阴道转移是一个罕见的现象.
- 通常,它意味着广泛的疾病,并带来不良的预后.
研究的目的:
- 报告来自结直肠癌的隔离性阴道转移病例.
- 讨论这种罕见实体的诊断和管理策略.
主要方法:
- 一个由于阴道损伤而出现阴道出血的患者的病例介绍.
- 诊断工作包括结肠镜检查和正子发射断层扫描-计算机断层扫描 (PET-CT).
- 治疗包括手术切除结肠原发性转移和阴道转移,然后进行辅助化疗和放射治疗.
主要成果:
- 患者的阴道损伤被证实是从西格结肠原发性转移性腺癌.
- 患者接受了成功的手术管理和辅助疗法.
- 有限的文献表明,对于可接受手术切除的隔离性阴道转移,合理的生存率是合理的.
结论:
- 阴道转移应考虑在阴道出血的患者,特别是那些有结直肠癌史的.
- 孤立的阴道转移,当手术切除时,可能具有有利的预后.
- 治疗应在多学科框架内以治愈的意图进行,类似于其他寡头转移性疾病.
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