小细胞宫颈癌：胆囊切除术中的罕见发现。
Small cell cervical cancer: an unusual finding at cholecystectomy.
作者信息
Boyle Emily, Nzewi Emeka, Khan Iqbal, Al-Akash Musallam, Crotty Paul, Neary Paul C
机构信息
Department of Surgery, Adelaide and Meath Hospital incorporating the National Children's Hospital, Tallaght, Dublin 24, Ireland.
出版信息
Arch Gynecol Obstet. 2009 Feb;279(2):251-4. doi: 10.1007/s00404-008-0693-5. Epub 2008 Jun 12.
BACKGROUND
Small cell carcinoma of the cervix is a rare cancer, comprising less than 3% of all cervical neoplasms. It uniformly has a poor prognosis, and has a high mortality even with early stage disease. It can metastasise rapidly and metastatic sites include lung, liver, brain, bone, pancreas and lymph nodes.
CASE
Here, we report the case of a 60-year-old woman with no symptoms of cervical pathology who developed post-renal failure following a laparoscopic cholecystectomy. The cause was bilateral ureteric obstruction from metastatic small cell cervical cancer and metastases were subsequently found on her gallbladder specimen.
CONCLUSION
This is an unusual presentation of small cell cervical cancer and demonstrates the aggressive nature of this disease.
背景
宫颈小细胞癌是一种罕见的癌症，占所有宫颈肿瘤的比例不到3%。其预后普遍较差，即使处于疾病早期，死亡率也很高。它可迅速转移，转移部位包括肺、肝、脑、骨、胰腺和淋巴结。
病例
在此，我们报告一例60岁女性病例，该女性无宫颈病变症状，在腹腔镜胆囊切除术后出现肾衰竭。病因是转移性宫颈小细胞癌导致双侧输尿管梗阻，随后在其胆囊标本中发现了转移灶。
结论
这是宫颈小细胞癌的一种不寻常表现，证明了这种疾病的侵袭性。
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