Ismail E, Kornovski Y, Dimitrov T
Akush Ginekol (Sofiia). 2016;55(6):44-49.
The article presents a rare case of isolated massive pre-sacral metastasis in first stage cervical cancer. A 64 year old patient, which on occasion genital bleeding is made D&CI and histologically proven a "cancer of the cervix." Last period - 6 years ago. Clinically a patient diagnosed as IBI stage according to FIGO criteria. Surgery was radical hysterectomy (Class Ill) and pelvic and paraaortic lymph node dissection. HiStological result of the preparation is: vagina - clean resection lines, parameters - connective tissue and vessels, endometrium - atrophic changes, paraaortic lymph nodes - without metastases, cervix - infiltrative ulcerous adenosquamous carcinoma size vertically -4 cm. and -3.5 cm horizontally. Hitopathological diagnosis confirmed the clinical - pTlblNlMx.
本文介绍了一例罕见的I期宫颈癌孤立性巨大骶前转移病例。一名64岁患者，因偶尔出现生殖器出血接受诊断性刮宫及宫颈活检，组织学检查确诊为“宫颈癌”。末次月经6年前。根据国际妇产科联盟（FIGO）标准，临床诊断为IB1期。手术为根治性子宫切除术（III类）及盆腔和腹主动脉旁淋巴结清扫术。标本的组织学结果为：阴道——切缘干净，参数——结缔组织和血管，子宫内膜——萎缩性改变，腹主动脉旁淋巴结——无转移，宫颈——浸润性溃疡性腺鳞癌，垂直径4 cm，水平径3.5 cm。组织病理学诊断证实临床诊断为——pT1b1N1Mx。
