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原发结肠癌转移至子宫颈:病例报告及文献复习。

Uterine cervix metastasis from primary colon adenocarcinoma: a case report and review of the literature.

机构信息

Surgical Oncology Department, Institute Salah Azaiez de Cancer, Tunis, Tunisia.

Faculté de Medicine Tunis El Manar, Tunis, Tunisia.

出版信息

J Med Case Rep. 2021 Oct 2;15(1):486. doi: 10.1186/s13256-021-03055-2.

DOI:10.1186/s13256-021-03055-2
PMID:34598716
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8487153/
Abstract

INTRODUCTION

Metastases to the female genital tract from extragenital primary tumors are unusual. We report a rare case of uterine cervix metastasis from colon adenocarcinoma and discuss diagnostic and therapeutic issues.

CASE REPORT

We report a case of a 38-year-old North African Caucasian woman treated for a non-metastatic colon adenocarcinoma. She had a sigmoidectomy and incomplete adjuvant chemotherapy. Six months later, she consulted with vaginal bleeding caused by a cervical tumor, which was confirmed to be metastatic disease, and the patient underwent decompressive and hemostatic radiotherapy.

CONCLUSION

Uterine cervix metastasis from primary colon adenocarcinoma is rare. The resection remains the standard protocol for the local treatment of resectable metastatic disease. Otherwise, systemic therapy is the preferable option.

摘要

介绍

来自外生殖器原发肿瘤的女性生殖道转移是不常见的。我们报告了一例罕见的结肠癌子宫颈转移病例,并讨论了诊断和治疗问题。

病例报告

我们报告了一例 38 岁的北非高加索女性,患有非转移性结肠癌。她接受了乙状结肠切除术和不完全辅助化疗。6 个月后,她因宫颈肿瘤引起的阴道出血就诊,该肿瘤被确认为转移性疾病,患者接受了减压和止血放疗。

结论

原发结肠癌的子宫颈转移罕见。对于可切除的转移性疾病的局部治疗,切除仍然是标准方案。否则,系统治疗是首选。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e2/8487153/6647dcbde54e/13256_2021_3055_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e2/8487153/f6bfb8f1a85d/13256_2021_3055_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e2/8487153/244cc001df9c/13256_2021_3055_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e2/8487153/6647dcbde54e/13256_2021_3055_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e2/8487153/f6bfb8f1a85d/13256_2021_3055_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e2/8487153/244cc001df9c/13256_2021_3055_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34e2/8487153/6647dcbde54e/13256_2021_3055_Fig3_HTML.jpg

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Effect of PET before liver resection on surgical management for colorectal adenocarcinoma metastases: a randomized clinical trial.
肝切除术前 PET 对结直肠腺癌转移手术治疗的影响:一项随机临床试验。
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Metastatic colorectal adenocarcinoma in cervicovaginal cytology specimens confirmed by immunocytochemical stains on liquid base specimens: Two study cases with review of the literature.宫颈阴道细胞学标本中经液基标本免疫细胞化学染色确诊的转移性结直肠癌:两例研究病例并文献复习
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Role of systemic chemotherapy in the management of resected or resectable colorectal liver metastases: a systematic review and meta-analysis of randomized controlled trials.系统化疗在结直肠肝转移灶切除或可切除治疗中的作用:随机对照试验的系统评价和荟萃分析。
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