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勒福特阴道封闭术后的妇科恶性肿瘤

Gynecologic Malignancies Post-LeFort Colpocleisis.

作者信息

Elkattah Rayan, Brooks Alicia, Huffaker R Keith

机构信息

Department of Obstetrics and Gynecology, Quillen College of Medicine, East Tennessee State University, 325 N State of Franklin Road, Johnson City, TN 37604, USA.

Quillen College of Medicine, East Tennessee State University, Johnson City, TN 37614, USA.

出版信息

Case Rep Obstet Gynecol. 2014;2014:846745. doi: 10.1155/2014/846745. Epub 2014 Dec 1.

DOI:10.1155/2014/846745
PMID:25525536
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4266759/
Abstract

Introduction. LeFort colpocleisis (LFC) is a safe and effective obliterative surgical option for older women with advanced pelvic organ prolapse who no longer desire coital activity. A major disadvantage is the limited ability to evaluate for post-LFC gynecologic malignancies. Methods. We present the first case of endometrioid ovarian cancer diagnosed after LFC and review all reported gynecologic malignancies post-LFC in the English medical literature. Results. This is the second reported ovarian cancer post-LFC and the first of the endometrioid subtype. A total of nine other gynecologic malignancies post-LFC have been reported in the English medical literature. Conclusions. Gynecologic malignancies post-LFC are rare. We propose a simple 3-step strategy in evaluating post-LFC malignancies.

摘要

引言。勒福氏阴道闭合术(LFC)是一种安全有效的闭塞性手术选择,适用于不再有性交意愿的患有晚期盆腔器官脱垂的老年女性。一个主要缺点是评估LFC术后妇科恶性肿瘤的能力有限。方法。我们报告了首例LFC术后诊断出的子宫内膜样卵巢癌病例,并回顾了英文医学文献中所有报道的LFC术后妇科恶性肿瘤。结果。这是第二例报道的LFC术后卵巢癌,也是首例子宫内膜样亚型。英文医学文献中总共还报道了另外9例LFC术后妇科恶性肿瘤。结论。LFC术后妇科恶性肿瘤很罕见。我们提出了一种简单的三步策略来评估LFC术后的恶性肿瘤。

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Gynecologic Malignancies Post-LeFort Colpocleisis.勒福特阴道封闭术后的妇科恶性肿瘤
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[Comparison of perioperative conditions between total and partial colpocleisis for elderly patients suffered from severe pelvic organ prolapse].[老年重度盆腔器官脱垂患者全盆底与部分盆底封闭术围手术期情况比较]
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引用本文的文献

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Long-term efficacy and patient satisfaction of Le Fort colpocleisis for the treatment of severe pelvic organ prolapse.经阴道行 Le Fort 会阴体切除术治疗重度盆腔器官脱垂的长期疗效和患者满意度。
Int Urogynecol J. 2021 Apr;32(4):879-884. doi: 10.1007/s00192-020-04380-8. Epub 2020 Jun 29.
2
Razor-type dermatomes enable quick and thin vaginal dissection with less bleeding in colpocleisis.剃刀型皮片刀在阴道封闭术中能够实现快速、薄层的阴道分离,且出血较少。
Int Urogynecol J. 2020 Sep;31(9):1959-1964. doi: 10.1007/s00192-019-04162-x. Epub 2019 Nov 27.
3
Perioperative complications following colpocleisis with and without concomitant vaginal hysterectomy.伴有或不伴有同期阴道子宫切除术的阴道封闭术后围手术期并发症
Int Urogynecol J. 2017 Nov;28(11):1671-1675. doi: 10.1007/s00192-017-3340-5. Epub 2017 May 3.

本文引用的文献

1
Cost-utility of routine endometrial evaluation before le fort colpocleisis.
Female Pelvic Med Reconstr Surg. 2014 May-Jun;20(3):168-73. doi: 10.1097/SPV.0000000000000043.
2
Risks and benefits of screening asymptomatic women for ovarian cancer: a systematic review and meta-analysis.筛查无症状女性卵巢癌的风险和获益:系统评价和荟萃分析。
Gynecol Oncol. 2013 Sep;130(3):674-81. doi: 10.1016/j.ygyno.2013.06.029. Epub 2013 Jun 30.
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Minimally invasive diagnosis and treatment of endometrial cancer after LeFort colpocleisis.
Female Pelvic Med Reconstr Surg. 2013 Jul-Aug;19(4):242-4. doi: 10.1097/SPV.0b013e31828746d7.
4
Obliterative LeFort colpocleisis in a large group of elderly women.老年女性中广泛施行的阻塞性 LeFort 经阴道切开术。
Obstet Gynecol. 2013 Feb;121(2 Pt 1):279-284. doi: 10.1097/AOG.0b013e31827d8fdb.
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Primary invasive carcinoma of the vagina after Le Fort partial colpocleisis for stage IV pelvic organ prolapse: a case report.
Int Urogynecol J. 2011 Nov;22(11):1459-61. doi: 10.1007/s00192-011-1439-7. Epub 2011 May 12.
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Risk of unanticipated abnormal gynecologic pathology at the time of hysterectomy for uterovaginal prolapse.子宫脱垂患者行子宫切除术时出现意外异常妇科病理的风险。
Am J Obstet Gynecol. 2010 May;202(5):507.e1-4. doi: 10.1016/j.ajog.2010.01.077.
7
Uterus conserving prolapse surgery--what is the chance of missing a malignancy?保留子宫的脱垂手术——漏诊恶性肿瘤的几率有多大?
Int Urogynecol J. 2010 Jul;21(7):819-21. doi: 10.1007/s00192-010-1101-9. Epub 2010 Feb 5.
8
The Le Fort colpocleisis; an analysis of 43 operations.
Am J Obstet Gynecol. 1948 Nov;56(5):944-9. doi: 10.1016/0002-9378(48)90457-8.
9
Pelvic support, pelvic symptoms, and patient satisfaction after colpocleisis.阴道封闭术后的盆腔支持、盆腔症状及患者满意度
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Dec;19(12):1603-9. doi: 10.1007/s00192-008-0696-6. Epub 2008 Aug 9.
10
Is transvaginal ultrasound a worthwhile investigation for women undergoing vaginal hysterectomy?对于接受阴道子宫切除术的女性来说,经阴道超声检查是一项值得进行的检查吗?
J Obstet Gynaecol. 2008 May;28(4):418-20. doi: 10.1080/01443610802149954.