Yabushita Hiromitsu, Kanyama Kouhei, Sekiya Rinko, Noguchi Mari, Wakatsuki Akihiko
Department of Obstetrics and Gynecology, Aichi Medical University, Yazako, Nagakute-cho, Aichi, 480-1195, Japan.
Int J Clin Oncol. 2008 Dec;13(6):552-4. doi: 10.1007/s10147-008-0781-3. Epub 2008 Dec 18.
This report describes the case of the youngest Japanese person to be diagnosed with endocervical clearcell adenocarcinoma. In September 2005, a 17-year-old female adolescent visited a physician because of vaginal bleeding. A cervical tumor was discovered, and the patient was referred to our outpatient department. Vaginal examination showed a bleeding tumor approximately 1.5 cm in size protruding from the cervical os. The cytological finding of the uterine cervix was positive for malignancy, and the histological diagnosis by punch biopsy was clear-cell adenocarcinoma of the uterine cervix. A radical abdominal hysterectomy and pelvic lymphadenectomy were performed on October 30. Macroscopic findings showed a tumor, 1.5 cm in diameter, growing from the right side of the uterine cervix. The pathological diagnosis was clear-cell adenocarcinoma of the cervix (PT1b1NR0M0). The patient was discharged from our hospital without any adjuvant therapy. No signs of recurrence have been detected in the 2-year follow up.
本报告描述了最年轻的被诊断为宫颈透明细胞腺癌的日本人的病例。2005年9月，一名17岁的女性青少年因阴道出血就诊于医生。发现宫颈有肿瘤，患者被转诊至我们的门诊。阴道检查显示一个约1.5厘米大小的出血性肿瘤从宫颈口突出。子宫颈细胞学检查结果为恶性阳性，经穿刺活检的组织学诊断为子宫颈透明细胞腺癌。10月30日进行了根治性腹式子宫切除术和盆腔淋巴结清扫术。肉眼所见显示一个直径1.5厘米的肿瘤，从子宫颈右侧生长。病理诊断为宫颈透明细胞腺癌（PT1b1NR0M0）。患者未接受任何辅助治疗即从我院出院。在2年的随访中未检测到复发迹象。
