一个不寻常的绝经后出血病例
Roli Purwar1, Jyothi Kanugonda1, Mridula Shukla2
1Department of Surgical Oncology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
World journal of surgical oncology
|February 5, 2025
概括
本案例报告突出了由细胞癌 (RCC) 引起的阴道转移的极为罕见实例,呈现为绝经后出血. 早期检测和彻底的调查对于管理这种不常见的高级RCC呈现至关重要.
科学领域:
- 在瘤学瘤学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 细胞癌 (RCC) 在呈现时转移是常见的,通常会影响肺,骨和肝脏.
- 来自RCC的同步阴道和宫转移异常罕见,从左静脉到卵巢静脉的血液反流是被提议的途径.
- 阴道转移性瘤比初级阴道瘤更频繁地是妇科癌症 (子宫,子宫内膜,卵巢) 的次要原因.
研究的目的:
- 报告一种非常罕见的转移病例,由细胞癌引起,呈现为绝经后出血.
- 强调高怀疑指数对于诊断罕见转移性RCC模式的重要性.
- 讨论由产生的阴道转移的诊断和管理方面的考虑.
主要方法:
- 一个55岁妇女患有绝经后出血的病例介绍.
- 身体检查显示,阴道质量掩盖了子宫.
- 通过活检和免疫组织化学证实了诊断,确定了细胞癌转移. 图像检测发现了主要的左质量和进一步的转移.
主要成果:
- 这名患者出现了阴道质量,并确认了从左质量中发生的阴道,宫和肺转移.
- 组织病理学检查证实了转移性细胞癌.
- 患者开始接受帕佐帕尼布治疗.
结论:
- 阴道转移呈现为绝经后出血是一种极其罕见的细胞癌的表现,之前仅报告了三个病例.
- 高度的怀疑指数,彻底的检查和全面的调查对于准确的诊断和管理这种罕见的表现至关重要.
- 虽然二次性阴道瘤更常见,但这种情况强调了RCC作为来源的可能性,需要广泛的差异诊断.
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