Miliaras D
Pathology Department, General Clinic, Thessaloniki, Greece.
Eur J Gynaecol Oncol. 2002;23(4):350-2.
A 45-year-old white female presented a polypoid nodule in the vulva, one year after she was operated on for breast cancer. Histologic examination showed a poorly differentiated carcinoma that closely resembled the primary breast tumor. Eight similar cases have been previously described in the literature. This very rare event should be differentiated from primary adenocarcinoma of the mammary-like glands of the vulva. The recognition of such a lesion as primary or metastatic is very important, since it greatly influences management and prognosis.
一名45岁的白人女性在接受乳腺癌手术后一年,外阴出现一个息肉样结节。组织学检查显示为低分化癌,与原发性乳腺肿瘤极为相似。此前文献中已描述过8例类似病例。这种非常罕见的情况应与外阴乳腺样腺体的原发性腺癌相鉴别。识别这种病变是原发性还是转移性非常重要,因为这会极大地影响治疗和预后。