Van Dam P A, Irvine L, Lowe D G, Fisher C, Barton D P, Shepherd J H
Department of Gynaecology, St. Bartholomew's Hospital, London, England.
Gynecol Oncol. 1992 Jan;44(1):96-100. doi: 10.1016/0090-8258(92)90019-f.
The finding of primary or metastatic carcinoma in an episiotomy scar is a rare event; we report three cases. The first patient presented with an abnormal cervical smear and was found to have a primary squamous cell carcinoma of the vulva in an old, healed episiotomy scar. A second patient, diagnosed as having cervical carcinoma 6 months postpartum, was found to have a metastatic deposit in the episiotomy scar during the staging of her disease. The third patient developed adenocarcinoma metastatic from an endocervical primary in an episiotomy scar that presented as a small nodule at the introitus. These cases exemplify the need for careful inspection and biopsy of any nodular lesions in episiotomy scars as part of the initial assessment and follow-up of patients with premalignant or malignant lesions of the lower genital tract.
在会阴切开术瘢痕中发现原发性或转移性癌是一种罕见的情况；我们报告三例。首例患者宫颈涂片异常，发现在陈旧性、已愈合的会阴切开术瘢痕中有原发性外阴鳞状细胞癌。第二例患者产后6个月被诊断为宫颈癌，在疾病分期时发现在会阴切开术瘢痕中有转移灶。第三例患者在会阴切开术瘢痕中有来自宫颈管原发性腺癌的转移灶，表现为阴道口处的小结节。这些病例表明，作为下生殖道癌前或恶性病变患者初始评估和随访的一部分，对会阴切开术瘢痕中的任何结节性病变进行仔细检查和活检是必要的。
