晚期乳腺癌子宫颈复发并文献复习

Late breast cancer recurrence to the uterine cervix with a review of the literature.

作者信息

Manci Natalina, Marchetti Claudia, Esposito Francesca, Graziano Marialida, Tomao Federica, Pastore Maria, Bellati Filippo, Panici Pierluigi Benedetti

机构信息

Department of Obstetrics and Gynecology, University of Rome La Sapienza, Rome, Italy.

出版信息

Int J Gynecol Pathol. 2008 Jan;27(1):113-7. doi: 10.1097/pgp.0b013e31806add82.

DOI:10.1097/pgp.0b013e31806add82

PMID:18156985

Abstract

The cervix is a possible site of metastasis from any primary malignancy, but no specific indication on follow-up examination is present. We present an asymptomatic patient with isolated breast cancer cervical recurrence diagnosed by colposcopy after 11 years from primary disease. After a PubMed search and a review of current guidelines, no indication to follow-up examination regarding the cervix is present. The adoption of colposcopy in cancer survivors might be an aid to gynecologists in diagnosing cancer recurrence. Cancer survivors might benefit from a more thorough gynecologic examination as compared with the simple Papanicolaou test.

摘要

宫颈可能是任何原发性恶性肿瘤的转移部位，但随访检查中没有出现特定指征。我们报告一例无症状患者，在原发性疾病发生11年后经阴道镜检查诊断为孤立性乳腺癌宫颈复发。经PubMed检索并查阅现行指南后，未发现对宫颈进行随访检查的指征。癌症幸存者采用阴道镜检查可能有助于妇科医生诊断癌症复发。与单纯巴氏试验相比，癌症幸存者可能从更全面的妇科检查中获益。