Dzikonski M, Räber G, Kohly A
Zentralbl Gynakol. 1979;101(24):1595-9.
Reported in this paper is a mesonephroid carcinoma in the vagina of a primigravida, 27 years of age, in the 27th or 28th week of pregnancy. The carcionoma originated from Gartner's duct and is characterised by typical papillary structures. Such carcionoma quite often cannot be morphologically differentiated from metamesonephroid carcionomas which originate from Mueller's epithelium to occur on the same site. Both tumour forms are rather often be considered an entity in relevant literature. The development of that carcinoma during gravidity is considered accidental. - Included in the therapeutic approach were Caesarean section, radical hysterectomy, including radical adnexectomy and removal of a 5-cm vaginal collar, removal of the Douglas peritoneum because of visible intraperitoneal metastasation, and extensive lymphonodectomy, all in one session. - Biaxial telecobalt pendulum irradiation followed postsurgically, the focal dose being 7,000 rd. No sign of recurrence has been recordable from follow-up checks and clinical examinations, one year from surgery.
本文报道了一名27岁初产妇，在妊娠第27或28周时阴道发生的中肾样癌。该癌起源于加特纳管，具有典型的乳头状结构。这种癌在形态学上常常无法与起源于苗勒上皮且发生在同一部位的间中肾样癌相区分。在相关文献中，这两种肿瘤形式常常被视为一个实体。该癌在孕期的发生被认为是偶然的。治疗方法包括剖宫产、根治性子宫切除术，包括根治性附件切除术和切除5厘米的阴道环，因可见腹腔内转移而切除Douglas腹膜，以及广泛的淋巴结切除术，所有这些手术在一次手术中完成。术后进行双轴远距钴摆位照射，局部剂量为7000拉德。自手术一年以来，随访检查和临床检查均未发现复发迹象。
