子宫脱垂患者伴膀胱受累的原发性阴道鳞状细胞癌：病例报告。
Primary vaginal squamous cell carcinoma with bladder involvement in uterine prolapsed patient: Case report.
作者信息
Fedus Tadeusz, Raś Renata, Książek Mariusz, Filipowska Justyna, Kaznowska Ewa, Skręt Andrzej, Skręt-Magierło Joanna, Barnaś Edyta
机构信息
Clinical Department of Urology and Urology Oncology Obstetrics and Gynecology Clinic, Frederick Chopin Clinical Provincial Hospital No 1 Department of Patomorphology, Chair of Morphological Sciences, Faculty of Medicine Institute of Nursing and Health Science Institute of Obstetrics and Emergency Medicine, Medical Faculty, University of Rzeszow, Rzeszow, Poland.
出版信息
Medicine (Baltimore). 2017 Dec;96(50):e8993. doi: 10.1097/MD.0000000000008993.
RATIONALE
Primary vaginal squamous cell carcinoma (SCC) is a rare disease. Primary SCC in prolapsed vagina is extremely rare. In the presented case additional bladder involvement was found.
PATIENTS CONCERNS
Primary vaginal SCC may be misinterpreted as decubitus in prolapsed vagina and it may delay proper diagnosis and treatment.
DIAGNOSES
Diagnosis was confirmed by the vaginal ulceration biopsy and cystoscopic biopsy of the involved bladder.
INTERVENTIONS
In the case presented percutaneous nephrostomy was the only possible treatment of hydronephrosis.
OUTCOMES
In advanced primary SCC (Figo IVA) with nodal involvement palliative treatment is only option.
LESSONS
Primary SCC mimicking decubitus which appeared in prolapsed vagina, may be accompanied by bladder involvement.
理论依据
原发性阴道鳞状细胞癌（SCC）是一种罕见疾病。脱垂阴道中的原发性SCC极为罕见。在本病例中，发现了额外的膀胱受累情况。
患者关注问题
原发性阴道SCC可能被误诊为脱垂阴道中的褥疮，这可能会延迟正确的诊断和治疗。
诊断
通过阴道溃疡活检和受累膀胱的膀胱镜活检确诊。
干预措施
在本病例中，经皮肾造瘘术是肾积水的唯一可能治疗方法。
结果
在伴有淋巴结受累的晚期原发性SCC（国际妇产科联盟[FIGO] IVA期）中，姑息治疗是唯一选择。
经验教训
模仿脱垂阴道中褥疮出现的原发性SCC，可能伴有膀胱受累。
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