子宫颈癌肉瘤：一种源自中肾残余组织的罕见病理发现。
Carcinosarcoma of the uterine cervix: a rare pathological finding originating from mesonephric remnants.
作者信息
Ribeiro Bárbara, Silva Raquel, Dias Renata, Patrício Vanda
机构信息
Gynecology and Obstetrics Department, Hospital de Braga, Braga, Portugal.
Pathology, Instituto Português de Oncologia do Porto Francisco Gentil EPE, Porto, Portugal.
出版信息
BMJ Case Rep. 2019 Mar 31;12(3):e227050. doi: 10.1136/bcr-2018-227050.
Abstract
Carcinosarcoma of the uterine cervix is a very rare tumour that has been described in less than 70 cases in the literature. It is less common compared with carcinosarcoma of the uterine corpus and it can have two origins: the Müllerian ducts and the mesonephric duct remnants. The association of mesonephric carcinoma with a sarcomatous component was reported in only 11 cases, including the following. We describe a case of a 64-year-old woman, presenting with vaginal bleeding and a cervical lesion reported as a sarcoma of endometrial stroma in the first biopsy. After exclusion of distant disease, she was submitted to radical surgery and the final histopathological examination showed a carcinosarcoma of the cervix with mesonephric origin.
摘要
子宫颈癌肉瘤是一种非常罕见的肿瘤，文献报道不足70例。与子宫体癌肉瘤相比，它较为少见，并且可能有两种起源：苗勒管和中肾管残余。中肾管癌与肉瘤成分相关的病例仅报道了11例，如下所述。我们描述了一例64岁女性病例，该患者出现阴道出血，首次活检时宫颈病变被报告为子宫内膜间质肉瘤。在排除远处转移后，她接受了根治性手术，最终组织病理学检查显示为起源于中肾管的宫颈癌肉瘤。
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本文引用的文献
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Carcinosarcoma of the uterine cervix arising from Müllerian ducts.源自苗勒管的子宫颈癌肉瘤
Obstet Gynecol Sci. 2015 May;58(3):251-5. doi: 10.5468/ogs.2015.58.3.251. Epub 2015 May 19.
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Tumor rupture as an initial manifestation of malignant mesonephric mixed tumor: a case report and review of the literature.肿瘤破裂作为恶性中肾混合瘤的初始表现：一例病例报告及文献复习
Int J Clin Exp Pathol. 2014 Feb 15;7(3):1212-7. eCollection 2014.
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Mesonephric adenocarcinoma with a sarcomatous component, a notable subtype of cervical carcinosarcoma: a case report and review of the literature.具有肉瘤成分的中肾腺癌，宫颈癌肉瘤的一种显著亚型：病例报告及文献复习。
Diagn Pathol. 2013 May 7;8:74. doi: 10.1186/1746-1596-8-74.
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