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一例罕见的宫颈鳞状细胞癌伴手术切口部位复发

A Rare Case of Squamous Cell Carcinoma of the Cervix With Incisional Site Recurrence.

作者信息

Sultana Anjuman

机构信息

Gynecologic Oncology, Directorate General of Health Services, Dhaka, BGD.

出版信息

Cureus. 2022 Jan 20;14(1):e21447. doi: 10.7759/cureus.21447. eCollection 2022 Jan.

DOI:10.7759/cureus.21447
PMID:35223232
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8860712/
Abstract

Incisional site metastasis in abdominal malignancy following laparotomy is uncommon and extremely rare in cervical cancer. The prognosis is poor in these patients, as they also present with distant organ metastasis. We report a case of squamous cell carcinoma of the cervix in a 40-year-old woman primarily treated with radical hysterectomy and concurrent chemoradiotherapy. Later on, she presented with incisional scar site recurrence and underwent surgical excision of the metastatic site several times along with chemotherapy. She has been in stable condition for nearly 10 years since her first recurrence. We highlighted the management strategies of this patient that contributed to her longevity.

摘要

剖腹手术后腹部恶性肿瘤的切口部位转移并不常见,在宫颈癌中极为罕见。这些患者的预后很差,因为他们还伴有远处器官转移。我们报告一例40岁女性宫颈鳞状细胞癌患者,最初接受了根治性子宫切除术和同步放化疗。后来,她出现了切口瘢痕部位复发,并多次接受转移部位的手术切除及化疗。自首次复发以来,她已处于稳定状态近10年。我们强调了有助于她长期生存的该患者的管理策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8efd/8860712/0e5343bd17dd/cureus-0014-00000021447-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8efd/8860712/aed2ec148781/cureus-0014-00000021447-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8efd/8860712/0e5343bd17dd/cureus-0014-00000021447-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8efd/8860712/aed2ec148781/cureus-0014-00000021447-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8efd/8860712/0e5343bd17dd/cureus-0014-00000021447-i02.jpg

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本文引用的文献

1
NCCN Guidelines Insights: Cervical Cancer, Version 1.2020.NCCN 指南解读:宫颈癌,第 1.2020 版。
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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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Laparoscopic laterally extended endopelvic resection (LEER) for cervical carcinoma recurring at the pelvic sidewall after concurrent chemoradiotherapy: Our experience in three cases.
腹腔镜侧方延伸盆壁切除术(LEER)治疗同步放化疗后宫颈癌复发至盆侧壁:三例经验。
Gynecol Oncol. 2018 May;149(2):428-429. doi: 10.1016/j.ygyno.2018.02.002. Epub 2018 Mar 3.
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Platinum-free interval in second-line chemotherapy for recurrent cervical cancer.二线化疗治疗复发性宫颈癌的无铂间期。
Int J Gynecol Cancer. 2013 Nov;23(9):1670-4. doi: 10.1097/IGC.0b013e3182a80a07.
5
Carboplatin and paclitaxel in metastatic or recurrent cervical cancer.卡铂和紫杉醇用于转移性或复发性宫颈癌
Int J Gynecol Cancer. 2009 May;19(4):777-81. doi: 10.1111/IGC.0b013e3181a40a8b.
6
Recurrent squamous cell carcinoma of the uterine cervix in an abdominal incision 2.5 years after a radical hysterectomy.根治性子宫切除术后2.5年,腹部切口处复发性子宫颈鳞状细胞癌。
Taiwan J Obstet Gynecol. 2008 Sep;47(3):348-9. doi: 10.1016/S1028-4559(08)60140-0.
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Recurrence of carcinoma cervix in the scar of previous cesarean section: a case report.
Int J Gynecol Cancer. 2006 Mar-Apr;16(2):900-4. doi: 10.1111/j.1525-1438.2006.00215.x.
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Cervical carcinoma recurring in an abdominal wall incision.
Clin Oncol (R Coll Radiol). 2000;12(6):354-6. doi: 10.1053/clon.2000.9193.
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Skin metastasis from carcinoma of the uterine cervix.
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Carcinoma in episiotomy scars.会阴切开术瘢痕处的癌
Gynecol Oncol. 1992 Jan;44(1):96-100. doi: 10.1016/0090-8258(92)90019-f.