Ju Woong, Park In Ae, Kim Sun Ho, Lee Sang Eun, Kim Seung Cheol
Department of Obstetrics and Gynecology, College of Medicine, Ewha Womans University, Yang Chun-Ku, Seoul, Republic of Korea.
Gynecol Oncol. 2005 Nov;99(2):504-6. doi: 10.1016/j.ygyno.2005.06.045. Epub 2005 Aug 19.
Small cell carcinoma in the uterine corpus rather than the endometrium has not been reported yet which resembles a uterine leiomyosarcoma on an imaging study. Furthermore, gynecologic malignancies manifested as a visual dysfunction render the early suspicion and accurate diagnosis a difficult proposition.
A 57-year-old Korean woman was referred to the Department of Obstetrics and Gynecology due to incidentally detected uterine mass. She had been suffering from a visual loss for several weeks. This uterine mass mimicking a leiomyosarcoma on pelvis MRI was identified to be a small cell carcinoma via a transvaginal gun biopsy and consequent immunostaining. The patient was then scheduled to undergo a regimen of chemotherapy with etoposide and carboplatin.
Small cell carcinoma may arise from the uterine corpus rather than the endometrium and may also be accompanied by visual symptoms.
子宫体而非子宫内膜的小细胞癌尚未见报道，在影像学检查中其类似于子宫平滑肌肉瘤。此外，表现为视觉功能障碍的妇科恶性肿瘤使得早期怀疑和准确诊断成为难题。
一名57岁的韩国女性因偶然发现子宫肿块而被转诊至妇产科。她已经有几周的视力丧失症状。这个在盆腔磁共振成像上酷似平滑肌肉瘤的子宫肿块，经阴道穿刺活检及后续免疫染色被确诊为小细胞癌。该患者随后被安排接受依托泊苷和顺铂的化疗方案。
小细胞癌可能起源于子宫体而非子宫内膜，也可能伴有视觉症状。
