Baba Hironobu, Kuwabara Hiroshi, Wakabayashi Mai, Nakamura Hiroshi, Sanada Takahiro, Baba Hiroyuki, Nakajima Kazumi, Goseki Narihide
Dept. of Surgery, Shuwa General Hospital, Japan.
Gan To Kagaku Ryoho. 2012 Nov;39(12):2255-7.
Vaginal metastasis is extremely rare, as is metastatic colorectal cancer. A 78-year-old woman was diagnosed with rectal cancer and uterine fibroid. Low anterior resection and simple hysterectomy was performed and the final diagnosis was fStage IIIa. Adjuvant chemotherapy was not performed. One year after the surgery, she was referred to our hospital with the chief complaint of hematuria. A tumor was observed in the posterior wall of the vagina. We performed vaginal mucosal resection and the pathological diagnosis was metastasis of rectal cancer. One year and 5 months after the surgery, we performed left inguinal node dissection and the pathological diagnosis was metastasis of rectal cancer. The patient has remained disease-free for 3 years and 5 months without adjuvant chemotherapy after resection of the vaginal metastasis.
阴道转移极为罕见，结直肠癌转移亦是如此。一名78岁女性被诊断为直肠癌和子宫肌瘤。实施了低位前切除术和单纯子宫切除术，最终诊断为Ⅲa期。未进行辅助化疗。术后一年，她因血尿为主诉转诊至我院。在阴道后壁观察到一个肿瘤。我们进行了阴道黏膜切除术，病理诊断为直肠癌转移。术后一年零五个月，我们进行了左侧腹股沟淋巴结清扫，病理诊断为直肠癌转移。该患者在切除阴道转移灶后未进行辅助化疗，已无病生存3年零5个月。
