Hino Yukiko, Yamada Yuki, Miura Sachiko, Okada Fumi, Uchiyama Tomoko, Mabuchi Seiji
Department of Obstetrics and Gynecology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan.
Department of Department of Radiation Oncology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan.
Gynecol Oncol Rep. 2020 Jun 8;33:100591. doi: 10.1016/j.gore.2020.100591. eCollection 2020 Aug.
A 81-year-old woman vaginal bleeding and vulvar pain. Pretreatment work-up revealed a 4.5 cm cervical cancer extended to the lower-third of the vagina and an isolated clitoral metastasis. The patient was treated with a multimodal treatment consisting with radiotherapy followed by clitoridectomy. She recovered uneventfully following the multimodal treatment, and is currently free of disease. Clitoral metastasis is extremely rare, however, this condition should be considered in cervical cancer patients during the pretreatment work-up or follow-up period, especially when patients complain of clitoral pain or enlargement.
一名81岁女性出现阴道出血和外阴疼痛。预处理检查发现有一个4.5厘米的宫颈癌,已扩展至阴道下三分之一处,并伴有孤立的阴蒂转移。该患者接受了包括放疗后行阴蒂切除术的多模式治疗。多模式治疗后她恢复顺利,目前无疾病。阴蒂转移极为罕见,然而,在宫颈癌患者的预处理检查或随访期间应考虑这种情况,尤其是当患者主诉阴蒂疼痛或肿大时。