腹腔镜整块切除合并OHVIRA综合征的子宫颈旁癌
Laparoscopic en bloc resection of a para-cervical cancer with OHVIRA syndrome.
作者信息
Kusunoki Soshi, Huang Kuan-Gen, Magno Angelito
机构信息
Department of Obstetrics and Gynecology, Faculty of Medicine, Juntendo University, Tokyo, Japan; Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital at Linkou, Kweishan, Taoyuan, Taiwan.
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital at Linkou, Kweishan, Taoyuan, Taiwan; Chang Gung University College of Medicine, Kweishan, Taoyuan, Taiwan.
出版信息
Taiwan J Obstet Gynecol. 2018 Feb;57(1):141-143. doi: 10.1016/j.tjog.2017.12.024.
OBJECTIVE
There are some reports of cervical cancer with uterus didelphys but a case of clear cell carcinoma (CCCC) with Obstructed Hemivagina and Ipsilateral Renal Anomaly (OHVIRA) syndrome is extremely rare. The aim of this paper was to report a case of CCCC with OHVIRA syndrome and the difficulty in making a preoperative diagnosis.
CASE REPORT
A 65 years old woman presented with postmenopausal bleeding and pelvic examination showed right paracervical mass. Preoperative confirmation of cervical carcinoma was difficult due to the location of the mass, which was inaccessible by cervical punch biopsy. Pelvic examination revealed a large mass in pelvic cavity without parametrial invasion and ultrasound showed approximately 70 mm cervical tumor. Laparoscopic surgery revealed clear cell carcinoma of the para-endocervix with OHVIRA syndrome.
CONCLUSION
In the case of cervical carcinoma with OHVIRA syndrome, laparoscopic surgery is preferable for the diagnosis and management.
目的
有一些关于双子宫宫颈癌的报道，但一例伴有阴道半侧梗阻和同侧肾异常（OHVIRA）综合征的透明细胞癌（CCCC）极为罕见。本文旨在报告一例伴有OHVIRA综合征的CCCC病例以及术前诊断的困难。
病例报告
一名65岁女性出现绝经后出血，盆腔检查发现右侧宫颈旁肿块。由于肿块位置原因，经宫颈穿刺活检无法获取组织，术前难以确诊宫颈癌。盆腔检查发现盆腔内有一巨大肿块，未侵犯宫旁组织，超声显示宫颈肿瘤约70毫米。腹腔镜手术显示宫颈旁透明细胞癌伴OHVIRA综合征。
结论
对于伴有OHVIRA综合征的宫颈癌病例，腹腔镜手术更适合用于诊断和治疗。
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