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低分化宫颈鳞状细胞癌酷似肺巨细胞癌:这种肿瘤的极端形态及其临床过程。

Poorly Differentiated Cervical Squamous Cell Carcinoma Resembling Giant Cell Carcinoma of the Lung: Extreme Morphology of This Tumor and Its Clinical Course.

机构信息

Department of Obstetrics and Gynecology, University of Occupational and Environmental Health, Japan.

Department of Nursing of Human Broad, University of Occupational and Environmental Health, Japan.

出版信息

J UOEH. 2022;44(3):263-267. doi: 10.7888/juoeh.44.263.

Abstract

Giant cell tumor is a highly aggressive tumor characterized by a marked proliferation of pleomorphic, bizarre giant cells usually observed in the lungs. The importance of histopathological imaging and the clinical course of this tumor are unknown. The objective of our report was to investigate whether these components affect treatment outcomes and prognosis compared to conventional cancers. A 40-year-old woman with cervical cancer showed leukocytosis and elevated granulocyte colony simulating factor (G-CSF). The patient underwent a radical abdominal hysterectomy. Pathology revealed a poorly differentiated squamous cell carcinoma of the cervix, similar to giant cell carcinoma. The patient recovered from the disease and is alive 37 months after concurrent chemoradiotherapy (CCRT). Leukocytosis and G-CSF were normalized after treatment. This was our second case of giant cell carcinoma of the cervix. Cumulative data on giant cell carcinoma are limited, thus we considered the prognostic significance of the presence of giant cell carcinoma in uterine carcinoma.

摘要

巨细胞肿瘤是一种高度侵袭性肿瘤,其特征是在肺部观察到明显的多形性、奇异的巨细胞增殖。该肿瘤的组织病理学成像和临床过程的重要性尚不清楚。我们报告的目的是研究与传统癌症相比,这些成分是否会影响治疗结果和预后。一名 40 岁的宫颈癌女性出现白细胞增多和粒细胞集落刺激因子 (G-CSF) 升高。患者接受了根治性腹式子宫切除术。病理显示宫颈为低分化鳞状细胞癌,类似于巨细胞癌。患者在同步放化疗 (CCRT) 后恢复,白细胞增多和 G-CSF 恢复正常。这是我们的第二个宫颈巨细胞癌病例。巨细胞癌的累积数据有限,因此我们考虑了巨细胞癌在子宫癌中的存在对预后的意义。

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