以外阴肿胀为表现的阑尾癌复发：一例病例报告
Recurrence of carcinoma of appendix presenting as vulvar swelling: a case report.
作者信息
Cheung Ka Wang, Cheung Vincent Y T
机构信息
Department of Obstetrics and Gynaecology, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China.
出版信息
J Obstet Gynaecol Can. 2014 Oct;36(10):904-906. doi: 10.1016/S1701-2163(15)30440-0.
BACKGROUND
Adenocarcinoma of the vulva is rare and can develop as metastatic recurrence originating from the appendix. Vulvar swelling can be one of the presenting symptoms and should not be presumed to be lymphedema unless possible malignant metastasis has been excluded.
CASE
We report a case of vulvar swelling arising after hysterectomy, bilateral salpingo-oophorectomy, pelvic and para-aotic lymphadenectomy, and appendectomy for presumed ovarian malignancy. Pathology revealed stage IV carcinoma of the appendix. The patient presented with vulvar swelling 12 months after the operation. An erythematous vulva with multiple hard nodular growths was found on examination. Biopsy confirmed recurrence of adenocarcinoma of the appendix.
CONCLUSION
Recurrent carcinoma of the appendix can metastasize to the vulva and may present as vulvar swelling.
背景
外阴腺癌罕见，可作为源自阑尾的转移性复发而发生。外阴肿胀可能是首发症状之一，除非已排除可能的恶性转移，否则不应假定为淋巴水肿。
病例
我们报告一例在因假定的卵巢恶性肿瘤而行子宫切除术、双侧输卵管卵巢切除术、盆腔和腹主动脉旁淋巴结清扫术及阑尾切除术后出现外阴肿胀的病例。病理显示阑尾IV期癌。患者在术后12个月出现外阴肿胀。检查发现外阴呈红斑样，有多个硬结节状肿物。活检证实为阑尾腺癌复发。
结论
阑尾复发性癌可转移至外阴，并可能表现为外阴肿胀。
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