Department of Oncology and Radiotherapy, Faculty of Medicine and University Hospital, Charles University, Hradec Kralove, Czechia.
The Fingerland Department of Pathology, Faculty of Medicine and University Hospital, Charles University, Hradec Kralove, Czechia.
Pathol Oncol Res. 2021 Dec 14;27:1610003. doi: 10.3389/pore.2021.1610003. eCollection 2021.
Small cell carcinoma of hypercalcemic type (SCCOHT) is a rare gynaecological neoplasm, originating mostly in the ovaries. Cervical origin of this very aggressive malignancy with unknown histogenesis is an extremely rare condition, without published management recommendations. Alterations in gene are supposed to play the major role in SCCOHT oncogenesis and their identification is crucial for the diagnosis. Adequate genetic counselling of the patients and their families seems to be of great importance. Optimal management and treatment approaches are not known yet but may extremely influence the prognosis of young female patients that suffer from this very resistant disease. Nowadays, a translational research seems to be the key for the further diagnostic and treatment strategies of SCCOHT. The purpose of the case report is to provide practical information and useful recommendations on the diagnosis, management, and treatment of SMARCA4-deficient carcinoma of the uterine cervix resembling SCCOHT.
高钙血症型小细胞癌(SCCOHT)是一种罕见的妇科肿瘤,主要起源于卵巢。起源于宫颈的这种侵袭性极强的恶性肿瘤,其组织发生不明,极为罕见,尚无相关的治疗推荐。 基因的改变被认为在 SCCOHT 的肿瘤发生中起主要作用,其鉴定对诊断至关重要。为患者及其家属提供充分的遗传咨询似乎非常重要。然而,目前尚不清楚最佳的管理和治疗方法,但可能会极大地影响患有这种非常耐药疾病的年轻女性患者的预后。如今,转化研究似乎是进一步诊断和治疗 SCCOHT 的关键。本病例报告的目的是提供有关诊断、管理和治疗类似于 SCCOHT 的子宫颈 SMARCA4 缺陷型癌的实用信息和有用建议。