Lelchuk Andrew, Morin Nicholas, Bain Kevin
Nova Southeastern University College of Osteopathic Medicine, Davie, FL, USA.
Department of Surgery, NYU Langone Hospital, Brooklyn, NY, USA.
AME Case Rep. 2018 May 15;2:23. doi: 10.21037/acr.2018.05.02. eCollection 2018.
We discuss the rare case of a 47-year-old female with a history of squamous cell carcinoma (SCC) in situ of the cervix, who presents with a bowel obstruction secondary to a sigmoid colon mass confirmed to be SCC of cervical origin. SCC is one of the rare malignancies of the gastrointestinal tract, and may occur as either a primary or secondary lesion. Metastasis from the cervix to the gastrointestinal tract is a rare occurrence, and has only been described in a handful of case reports. The treatment for colonic metastatic tumor arising from cervical SCC remains controversial. Surgery and debulking are the primary treatment modalities, while the role for radiotherapy and chemotherapy remain ambiguous. Further study is required to compare the efficacy of different treatment regimens.
我们讨论了一例罕见病例,一名47岁女性,有宫颈原位鳞状细胞癌(SCC)病史,因乙状结肠肿块导致肠梗阻,该肿块经证实为宫颈来源的SCC。SCC是胃肠道罕见的恶性肿瘤之一,可作为原发性或继发性病变出现。宫颈癌转移至胃肠道是罕见情况,仅在少数病例报告中有描述。宫颈SCC引起的结肠转移瘤的治疗仍存在争议。手术和减瘤是主要治疗方式,而放疗和化疗的作用仍不明确。需要进一步研究以比较不同治疗方案的疗效。