Benchakroun N, Tahri A, Tawfiq N, Acharki A, Sahraoui S, Benider A, Kahlain A
Centre d'oncologie Ibn Rochd, Casablanca, Maroc.
Gynecol Obstet Fertil. 2002 Jul-Aug;30(7-8):592-5. doi: 10.1016/s1297-9589(02)00386-7.
The leiomyosarcoma of the vagina is extremely rare. This paper reports two observations treated at the Ibn Rochd oncology center of Casablanca. The first patient was 32 years old, and presented a tumor of 15 cm to the detriment of the posterior wall of the vagina. The treatment consisted of a large exeresis of the tumor followed by postoperative radiotherapy. After 50 months, she is still alive. The second patient who was 42 years old, had a 10 cm tumor of the posterior wall of the vagina. A tumorectomy was realized and then the patient was not heard of. The evolution was marked by the appearance of pulmonary metastasis and a palliative chemotherapy was prescribed. This patient is deceased after 31 months. Seventy-five cases only are described in the literature. The surgery is the basic treatment whereas radiotherapy is still discussed. The prognosis of these tumors remains linked especially to the histological rank.
阴道平滑肌肉瘤极为罕见。本文报道了在卡萨布兰卡伊本·罗什德肿瘤中心治疗的两例病例。首例患者32岁，阴道后壁有一个15厘米的肿瘤。治疗方法是对肿瘤进行广泛切除，术后进行放疗。50个月后，她仍然存活。第二例患者42岁，阴道后壁有一个10厘米的肿瘤。进行了肿瘤切除术，之后便失去了该患者的消息。病情发展表现为出现肺转移，并进行了姑息化疗。该患者在31个月后死亡。文献中仅描述了75例病例。手术是基本治疗方法，而放疗仍存在争议。这些肿瘤的预后尤其与组织学分级有关。
