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人乳头瘤病毒相关的新阴道鳞状细胞癌在男性至女性性别确认手术后表现为肺转移。

HPV-Related Neovaginal Squamous Cell Carcinoma Presenting as Lung Metastasis after Male-to-Female Gender Confirmation Surgery.

作者信息

Wang Gang, Ferguson David, Ionescu Diana N, Hoang Lien, Barrett Sarah, van Niekerk Dirk, Rose James Neil, Kollmannsberger Christian

机构信息

Department of Pathology, BC Cancer Vancouver Centre, Vancouver, British Columbia, Canada.

University of British Columbia, Vancouver, British Columbia, Canada.

出版信息

Case Rep Oncol. 2020 Jan 20;13(1):17-22. doi: 10.1159/000504936. eCollection 2020 Jan-Apr.

DOI:10.1159/000504936
PMID:32110215
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7036568/
Abstract

There have been 4 reported cases of squamous cell carcinoma (SCC) of the neovagina in transgender women. In this report, we present another case of neovaginal SCC in a transgender woman, which was HPV-related, with lung metastasis as the initial presentation, and which was also complicated by her previous history of metastatic renal cell carcinoma. This unique case highlights the diagnostic challenges in these unusual scenarios. Through this report, we hope to address the benefits of multidisciplinary tumor board rounds, provision of detailed clinical information, and familiarization of the transgender anatomy within the pelvis in this group of patients. We also propose that transgender women undergo a continuous annual follow-up after postoperative follow-up is completed.

摘要

据报道,变性女性新阴道鳞状细胞癌(SCC)已有4例。在本报告中,我们介绍了另一例变性女性新阴道SCC病例,该病例与HPV相关,以肺转移为首发表现,且患者既往有转移性肾细胞癌病史,使病情更为复杂。这一独特病例凸显了这些特殊情况下的诊断挑战。通过本报告,我们希望探讨多学科肿瘤病例讨论的益处、提供详细的临床信息以及让该组患者熟悉盆腔内变性后的解剖结构。我们还建议变性女性在术后随访完成后每年持续接受随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb9a/7036568/651866f84112/cro-0013-0017-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb9a/7036568/4d2223cd74be/cro-0013-0017-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb9a/7036568/651866f84112/cro-0013-0017-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb9a/7036568/4d2223cd74be/cro-0013-0017-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb9a/7036568/651866f84112/cro-0013-0017-g02.jpg

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2
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Int J STD AIDS. 2018 Mar;29(3):306-308. doi: 10.1177/0956462417728856. Epub 2017 Aug 30.
3
MR imaging in patients with male-to-female sex reassignment surgery: postoperative anatomy and complications.
一名跨性别女性的新阴道鳞状细胞癌:病例报告、治疗见解及文献综述
Gynecol Oncol Rep. 2025 Jan 27;57:101686. doi: 10.1016/j.gore.2025.101686. eCollection 2025 Feb.
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Prevalence and potential implications of HPV infection in transgender women with gender reaffirming genital surgery: a systematic literature review and meta-analysis.接受性别确认生殖器手术的跨性别女性中HPV感染的患病率及潜在影响:一项系统文献综述和荟萃分析
Sex Transm Infect. 2025 May 19;101(4):269-277. doi: 10.1136/sextrans-2024-056255.
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