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一例极为罕见的成人颈部神经母细胞瘤病例。

A very rare adult case of cervical neuroblastoma.

作者信息

He Yangyang, Yao Min, Zhang Xin, Sun Pingli, Gao Hongwen

机构信息

Department of Pathology, The Second Hospital of Jilin University Changchun 130041, China.

Department of Anesthesiology, The Second Hospital of Jilin University Changchun 130041, China.

出版信息

Int J Clin Exp Pathol. 2017 Aug 1;10(8):8746-8750. eCollection 2017.

Abstract

Neuroblastoma is the most common malignancy in children, but it rarely occurs in adults, especially in the female genital system. Here, we report a case of a 28-year-old woman who was diagnosed with uterine cervical neuroblastoma. A microscopic examination revealed that tumor cells in the solid component were interspersed within an abundant fibrillary background and separated by thin fibrous septa that were composed of mats of neuropil. Immunohistochemistry showed that the cells were positive for vimentin and neuroendocrine markers, such as CD56, NSE, and synaptophysin. Clinical management of neuroblastoma must be tailored to the pathological diagnosis. Cases of neuroblastoma that originate in the cervix of an adult patient are rare, and few treatment strategies and chemotherapeutic protocols are therefore available. The case reported here provides information regarding our experience with a pathological diagnosis of such a cancer and the treatment protocol used to manage it.

摘要

神经母细胞瘤是儿童最常见的恶性肿瘤,但在成人中很少见,尤其是在女性生殖系统中。在此,我们报告一例28岁女性被诊断为子宫颈神经母细胞瘤的病例。显微镜检查显示,实性成分中的肿瘤细胞散布在丰富的纤维背景中,并被由神经毡垫组成的薄纤维间隔分隔开。免疫组织化学显示,这些细胞波形蛋白及神经内分泌标志物(如CD56、NSE和突触素)呈阳性。神经母细胞瘤的临床管理必须根据病理诊断进行调整。起源于成年患者子宫颈的神经母细胞瘤病例罕见,因此可用的治疗策略和化疗方案很少。本文报告的病例提供了我们对此类癌症病理诊断的经验以及用于治疗的方案。

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