Kim Youngsun, Kim So-Woon
Department of Obstetrics and Gynecology, Kyung Hee Medical Center, College of Medicine, Kyung Hee university, Seoul, Republic of Korea.
Department of Pathology, Kyung Hee Medical Center, College of Medicine, Kyung Hee university, Seoul, Republic of Korea.
J Obstet Gynaecol Res. 2021 May;47(5):1917-1921. doi: 10.1111/jog.14722. Epub 2021 Mar 1.
A 78-year-old woman with the chief complaint of vaginal bleeding was referred to our institution. Pelvic magnetic resonance imaging showed a 2.1 cm × 2.0 cm soft tissue mass in the left vaginal area with left inguinal lymph node enlargement. A positron emission tomography/computer tomography scan showed a focal hypermetabolic lesion in the left vaginal area with involvement of vulvar area. Pelvic examination showed a vaginal wall mass and the patient underwent surgical excision of the mass. The results of pathology indicated lymphoepithelioma-like carcinoma (LELC) in the vagina. The patient was admitted subsequently in the oncological department for additional chemoradiation treatment. LELC is extremely rare in the vagina, and only three cases have been reported in the literature. Here we report an extremely rare case of this tumor and review of the previous literature.
一名78岁女性因阴道出血为主诉被转诊至我院。盆腔磁共振成像显示左侧阴道区域有一个2.1厘米×2.0厘米的软组织肿块，伴有左侧腹股沟淋巴结肿大。正电子发射断层扫描/计算机断层扫描显示左侧阴道区域有一个局灶性高代谢病变，累及外阴区域。盆腔检查发现阴道壁有肿块，患者接受了肿块的手术切除。病理结果显示为阴道淋巴上皮瘤样癌（LELC）。患者随后入住肿瘤科接受进一步的放化疗。LELC在阴道中极为罕见，文献中仅报道过3例。在此我们报告这一极其罕见的肿瘤病例并回顾既往文献。
