Matsuzaki Akiko, Saio Masanao, Kosuge Noritake, Aoyama Hajime, Tamaki Tomoko, Matsumoto Hirofumi, Yoshimi Naoki
Division of Pathology, Ryukyu University Hospital, University of the Ryukyus, Okinawa, Japan.
Department of Tumor Pathology, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan.
Case Rep Pathol. 2017;2017:1765460. doi: 10.1155/2017/1765460. Epub 2017 Apr 19.
Primary villoglandular mucinous adenocarcinoma of the vulva is rare tumor. We report a case of 68-year-old woman who developed this very uncommon malignant tumor. Immunohistochemical examination of this tumor revealed positive staining for Cytokeratin 20, Mucin 2, and CDX2, although Cytokeratin 7 and Mucin 6 were negative. This positive staining indicated the tumor enteric type characters. In order to exclude the possibility of the metastasis from another site, we thoroughly evaluated clinical data and extensively investigated the whole body. However, we could not detect any other tumors. The patient was treated by tumor resection. The patient remains free of disease 5 years after surgery.
原发性外阴绒毛腺性黏液腺癌是一种罕见的肿瘤。我们报告一例68岁女性罹患这种极为罕见的恶性肿瘤的病例。对该肿瘤进行免疫组织化学检查发现,细胞角蛋白20、黏蛋白2和尾型同源盒转录因子2呈阳性染色,而细胞角蛋白7和黏蛋白6呈阴性。这种阳性染色表明该肿瘤具有肠型特征。为排除肿瘤来源于其他部位转移的可能性,我们全面评估了临床资料并对全身进行了广泛检查。然而,我们未发现任何其他肿瘤。该患者接受了肿瘤切除术。术后5年患者仍无疾病复发。