Obisesan K A, Adeyemo A A, Fawole A O, Adesina O A
Department of Obstetrics and Gyanecology, University College Hospital, Ibadan, Nigeria.
Afr J Med Med Sci. 1998 Mar-Jun;27(1-2):135-6.
A 40-year-old woman was diagnosed as having stage II squamous cell cervical carcinoma and managed with radiotherapy. Three months after treatment, she presented with features suggestive of an advanced ovarian tumour including gross abdominal swelling, bilateral ovarian tumours, multiple tumour seedlings in the abdominal cavity and ascites. There was also pleural effusion. Operative findings revealed widespread intra-abdominal metastases whose histology, contrary to expectations, showed squamous cell carcinoma of cervical origin. Distant metastases from squamous cell carcinoma of the cervix are rare. A high index of suspicion is necessary to detect this unusual mode of presentation.
一名40岁女性被诊断为II期宫颈鳞状细胞癌，并接受了放射治疗。治疗三个月后，她出现了提示晚期卵巢肿瘤的症状，包括腹部明显肿胀、双侧卵巢肿瘤、腹腔内多个肿瘤播散灶和腹水。同时还有胸腔积液。手术发现显示腹腔内广泛转移，其组织学结果与预期相反，显示为宫颈来源的鳞状细胞癌。宫颈鳞状细胞癌的远处转移很少见。对于这种不寻常的表现方式，必须保持高度的怀疑指数才能检测出来。
