Murotsuki J, Yazaki S, Hayakawa S, Yamashita T
Dept. of Obstet. and Gynecol., Yamagata Prefectural Central Hosppital.
Gan No Rinsho. 1989 Nov;35(14):1716-20.
The case of an 85-year-old woman with a malignant lymphoma of the uterine cervix is reported, and the pertinent literature is reviewed. The patient was found to have vaginal bleeding and abnormal cytological smears. According to the Working Formulation, the histological diagnosis was a malignant lymphoma with diffuse, small, cleaved cells. As her condition was determined as being in FIGO's Stage I b, the patient was only given a hysterectomy, and she remains in complete remission 1 year after the initial diagnosis. This is the 21st reported case in Japan of a primary malignant lymphoma in the uterus. Such patients typically present vaginal bleeding and a cervical cytological examination is reliable way to achieve a diagnosis. From the small number of reports that exist, it appears that radiation therapy is proper curative method of procedure as some Stage I b patients who underwent surgery were found to have positive nodes.
报告了一名85岁子宫颈恶性淋巴瘤女性患者的病例,并对相关文献进行了综述。患者出现阴道出血和细胞学涂片异常。根据工作分类法,组织学诊断为弥漫性小裂细胞恶性淋巴瘤。由于其病情被确定为国际妇产科联合会(FIGO)I b期,患者仅接受了子宫切除术,初次诊断后1年仍处于完全缓解状态。这是日本第21例报告的原发性子宫恶性淋巴瘤病例。此类患者通常表现为阴道出血,宫颈细胞学检查是确诊的可靠方法。从现有的少量报告来看,放疗似乎是合适的治疗方法,因为一些接受手术的I b期患者被发现有淋巴结阳性。