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宫颈癌肝转移中肝胃瘘的独特发现。

A Unique Finding of Hepatogastric Fistula in Cervical Cancer Liver Metastasis.

作者信息

Narayanan Sankar, Biju Pottakkat, Sundaramoorthy Senthamizhan, Rajaraman Vishnukumar, Jinkala Sreerekha

机构信息

Surgical Gastroenterology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.

Radiation Oncology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, IND.

出版信息

Cureus. 2021 Dec 27;13(12):e20761. doi: 10.7759/cureus.20761. eCollection 2021 Dec.

DOI:10.7759/cureus.20761
PMID:35111447
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8791803/
Abstract

In India, cervical cancer is the second leading cause of cancer-related mortality among females. Around one-third are expected to develop recurrence or metastasis during follow-up. Liver metastasis is rarely requiring palliative treatment. Patient compliance to strict follow-up is vital to detect early metastasis to be able to improve survival. A 58-year-old lady (International Federation of Gynecology and Obstetrics [FIGO] stage IIIB) was treated with concurrent chemoradiotherapy. During follow-up, she had complained of abdominal pain for which cross-sectional imaging revealed a left lobe liver lesion fistulizing into the stomach. Liver metastasis fistulizing into the stomach is a rarity, and a biopsy is required to confirm metastasis or maybe a second primary. Although palliation in the form of chemotherapy is the standard, minor or major hepatectomy can be considered in patients with good performance status at high-volume centers. A tailored multidisciplinary team approach is required for better survival.

摘要

在印度，宫颈癌是女性癌症相关死亡的第二大主要原因。预计约三分之一的患者在随访期间会出现复发或转移。肝转移很少需要姑息治疗。患者严格遵守随访对于早期发现转移以提高生存率至关重要。一位58岁女性（国际妇产科联盟[FIGO] IIIB期）接受了同步放化疗。随访期间，她主诉腹痛，横断面成像显示左叶肝脏病变与胃形成瘘管。肝转移与胃形成瘘管极为罕见，需要进行活检以确认转移或可能是第二原发性肿瘤。尽管化疗形式的姑息治疗是标准方法，但在高容量中心，对于身体状况良好的患者可考虑进行小范围或大范围肝切除术。为了提高生存率，需要采取量身定制的多学科团队方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e29d/8791803/42082bc99cf1/cureus-0013-00000020761-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e29d/8791803/fdcaccabbde6/cureus-0013-00000020761-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e29d/8791803/8d551e0e9e34/cureus-0013-00000020761-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e29d/8791803/42082bc99cf1/cureus-0013-00000020761-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e29d/8791803/fdcaccabbde6/cureus-0013-00000020761-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e29d/8791803/8d551e0e9e34/cureus-0013-00000020761-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e29d/8791803/42082bc99cf1/cureus-0013-00000020761-i03.jpg

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引用本文的文献

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Rare case report: Liver metastasis from cervical adenocarcinoma presenting with cystic mass and obstructive jaundice.罕见病例报告：宫颈腺癌肝转移伴囊性肿块及梗阻性黄疸。
Front Oncol. 2025 May 30;15:1558946. doi: 10.3389/fonc.2025.1558946. eCollection 2025.

本文引用的文献

1
Patterns of metastases in cervical cancer: a population-based study.宫颈癌转移模式：一项基于人群的研究。
Int J Clin Exp Pathol. 2020 Jul 1;13(7):1615-1623. eCollection 2020.
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FDG-PET Imaging in Cervical Cancer.FDG-PET 成像在宫颈癌中的应用。
Semin Nucl Med. 2019 Nov;49(6):461-470. doi: 10.1053/j.semnuclmed.2019.06.007. Epub 2019 Jun 24.
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Cancer statistics, 2019.癌症统计数据，2019 年。
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Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.全球癌症统计数据 2018：GLOBOCAN 对全球 185 个国家/地区 36 种癌症的发病率和死亡率的估计。
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Bevacizumab for advanced cervical cancer: final overall survival and adverse event analysis of a randomised, controlled, open-label, phase 3 trial (Gynecologic Oncology Group 240).贝伐珠单抗治疗晚期宫颈癌：一项随机、对照、开放标签、3 期临床试验（妇科肿瘤学组 240）的最终总生存和不良事件分析。
Lancet. 2017 Oct 7;390(10103):1654-1663. doi: 10.1016/S0140-6736(17)31607-0. Epub 2017 Jul 27.
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Advances in diagnosis and treatment of metastatic cervical cancer.转移性宫颈癌的诊断与治疗进展
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Outcomes of patients with metastatic cervical cancer in a phase I clinical trials program.一项I期临床试验项目中转移性宫颈癌患者的治疗结果。
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p16 as a diagnostic marker of cervical neoplasia: a tissue microarray study of 796 archival specimens.p16 作为宫颈癌的诊断标志物：796 例存档标本的组织微阵列研究。
Diagn Pathol. 2009 Jul 9;4:22. doi: 10.1186/1746-1596-4-22.
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Standardized uptake value in para-aortic lymph nodes is a significant prognostic factor in patients with primary advanced squamous cervical cancer.腹主动脉旁淋巴结的标准化摄取值是原发性晚期宫颈鳞癌患者的一个重要预后因素。
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Is liver resection justified for patients with hepatic metastases from breast cancer?对于患有乳腺癌肝转移的患者，肝切除术是否合理？
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