既往巴氏腺囊肿造口术切口处发生子宫内膜腺癌复发。
Recurrence of endometrial adenocarcinoma in a prior Bartholin's cyst marsupialization incision.
作者信息
Ray Kimberly, Rocconi Rodney P, Novak Lea, Straughn J Michael
机构信息
Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of Alabama at Birmingham, Birmingham, AL 35249-7333, USA.
出版信息
Gynecol Oncol. 2006 Nov;103(2):749-51. doi: 10.1016/j.ygyno.2006.06.001. Epub 2006 Jul 13.
BACKGROUND
Endometrial cancer recurrences in surgical incisions are rare and thought to be due to seeding of the area with microscopic disease at the time of original surgery.
CASE
A 53-year-old woman underwent a dual procedure of a marsupialization of a benign bartholin's cyst with a hysteroscopic dilation and curettage for postmenopausal bleeding and received the diagnosis of endometrial adenocarcinoma. Final pathology from subsequent hysterectomy and staging procedure demonstrated a surgical Stage IB Grade 1 endometrial cancer. An isolated recurrence of disease in her marsupialization scar was discovered 10 months after her staging procedure.
CONCLUSION
This case represents the only described endometrial cancer recurrence in a Bartholin's gland which was contaminated at the time of the original hysteroscopy and dilation and curettage.
背景
子宫内膜癌在手术切口中复发的情况罕见，被认为是由于初次手术时微小病灶播散至该区域所致。
病例
一名53岁女性接受了一项联合手术，包括对良性巴氏腺囊肿进行袋形缝合，以及针对绝经后出血进行宫腔镜扩张刮宫术，并被诊断为子宫内膜腺癌。后续子宫切除及分期手术的最终病理显示为手术分期IB期1级子宫内膜癌。在分期手术后10个月，发现其袋形缝合瘢痕处出现孤立性疾病复发。
结论
该病例是唯一报道的在初次宫腔镜检查及扩张刮宫术时受到污染的巴氏腺发生子宫内膜癌复发的病例。
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