子宫皮肤瘘作为妇科恶性肿瘤的主要表现形式。
Uterocutaneous fistula as the primary presentation of a gynaecological malignancy.
作者信息
Hardy Liesel Elisabeth, Leung Yee
机构信息
Department of Gynaecological Oncology, King Edward Memorial Hospital for Women, Perth, Western Australia, Australia.
School of Women's and Infants' Health, University of Western Australia, Perth, Western Australia, Australia.
出版信息
BMJ Case Rep. 2018 Jun 8;2018:bcr-2018-224738. doi: 10.1136/bcr-2018-224738.
We report a case of high-grade gynaecological carcinoma presenting as a uterocutaneous fistula. A 59-year-old woman presented with a discharging abdominal wall wound. Imaging confirmed a large solid pelvic mass forming a sinus tract with the anterior abdominal wall. The tract tunnelled through a previous caesarean section scar. Biopsy indicated a high-grade gynaecological carcinoma, with features suggestive of endometrioid adenocarcinoma. The patient underwent two cycles of chemotherapy. Despite this, the mass increased in size and was complicated by abdominal wall wound breakdown. Chemotherapy was ceased. Surgical and palliative options are under consideration.
我们报告一例表现为子宫皮肤瘘的高级别妇科癌病例。一名59岁女性因腹壁伤口有分泌物就诊。影像学检查证实盆腔有一个大的实性肿块，与前腹壁形成一个窦道。该窦道穿过既往剖宫产瘢痕。活检显示为高级别妇科癌，具有子宫内膜样腺癌的特征。患者接受了两个周期的化疗。尽管如此，肿块仍增大，并出现腹壁伤口裂开的并发症。化疗停止。正在考虑手术和姑息治疗方案。
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