Katsumoto Yoshihiro, Maruyama Kentaro, Furukawa Junkou, Nagai Ken-ichi, Maruyama Naomi, Tanaka Jun-ichi, Yokouchi Hideoki, Nakaguchi Kazunori, Sue Fumiaki
Dept. of Surgery, Suita Municipal Hospital.
Gan To Kagaku Ryoho. 2002 Nov;29(12):2406-9.
The majority of vaginal metastases from extra-genital tumors are from colorectal cancer. A case of metastases to the vagina from a huge rectal carcinoma is described. A 55-year-old woman was admitted to the hospital because of a barium ileus after upper GI. Further examination revealed that she had a huge rectal carcinoma. Hartmann's operation combined with resection of the right ureter, posterior wall of the uterus and left ovary was performed. Postoperative chemoradiotherapy was performed with 60 Gy of irradiation to the small pelvis with 500 mg/day continuous infusion of 5-FU. After 18 months, she had genital bleeding. Digital examination revealed a vaginal tumor and metastasis of the rectal carcinoma to the vagina was confirmed histologically. Abdominoperineal resection of the rectum and vagina combined with simple total hysterectomy and bilateral salpingo-oophorectomy was performed. Thirty-three months after operation, there is no sign of recurrence.
大多数来自生殖器外肿瘤的阴道转移瘤源自结直肠癌。本文描述了一例巨大直肠癌转移至阴道的病例。一名55岁女性因上消化道钡剂肠梗阻入院。进一步检查发现她患有巨大直肠癌。实施了哈特曼手术，同时切除右侧输尿管、子宫后壁和左侧卵巢。术后进行了化疗放疗，对小骨盆进行60 Gy的照射，同时每天持续输注500 mg 5-氟尿嘧啶。18个月后，她出现生殖器出血。指诊发现阴道有肿瘤，经组织学证实为直肠癌转移至阴道。实施了直肠和阴道腹会阴联合切除术，同时进行了单纯全子宫切除术和双侧输卵管卵巢切除术。术后33个月，无复发迹象。
