表现为外阴炎和阴蒂肿大的膀胱鳞状细胞癌。
Squamous cell carcinoma of the bladder presenting as vulvitis and cliteromegaly.
作者信息
Hanna S J, Kaiser L, Muneer A, Nottingham J F, Kunkler R B
机构信息
Department of Urology, Northampton General Hospital, Northampton NN1 5BD, United Kingdom.
出版信息
Gynecol Oncol. 2004 Dec;95(3):722-3. doi: 10.1016/j.ygyno.2004.09.003.
INTRODUCTION
Clitoral metastases are exceptionally rare. We present a case of a squamous cell carcinoma of the bladder presenting with a clitoral metastasis.
CASE REPORT
We report the case of an 84-year-old lady with frequency, dysuria and a clitoral mass, which was found to be a poorly differentiated carcinoma on fine needle aspiration cytology. Cystoscopy revealed a moderate to poorly differentiated squamous cell carcinoma of the bladder.
CONCLUSION
This is the first reported case of a squamous cell carcinoma of the bladder with clitoral metastasis. Clitoral metastases are exceptionally rare, with only seven previous cases reported in the literature. Although the commonest cause of cliteromegaly is hormonal, a metastatic carcinoma should be considered as part of the differential diagnosis in the elderly female.
引言
阴蒂转移瘤极为罕见。我们报告一例膀胱鳞状细胞癌伴阴蒂转移的病例。
病例报告
我们报告一名84岁女性患者，有尿频、排尿困难及阴蒂肿物，细针穿刺细胞学检查发现为低分化癌。膀胱镜检查显示膀胱中分化至低分化鳞状细胞癌。
结论
这是首例报告的膀胱鳞状细胞癌伴阴蒂转移的病例。阴蒂转移瘤极为罕见，文献中此前仅报道过7例。虽然阴蒂肿大最常见的原因是激素因素，但对于老年女性，转移性癌应作为鉴别诊断的一部分予以考虑。
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