Moukhlissi Mohamed, Ben Sghier Ahmed, Serji Badr, El Harroudi Tijani, Bennani Amal, Dahbi Zineb, Berhilli Soufinae, Mezouar Loubna
Radiotherapy Department, University Mohamed VI Hospital, Mohamed First University Oujda, Oujda, Morocco.
Surgery Department, University Mohamed VI Hospital, Mohamed First University Oujda, Oujda, Morocco.
Radiol Case Rep. 2023 Mar 7;18(5):1872-1876. doi: 10.1016/j.radcr.2023.02.024. eCollection 2023 May.
Primary vaginal sarcoma is a rare disease entity, reported in less than 3% of cases of vaginal cancers. We report the observation of a patient treated at the regional oncology center of Oujda in Morocco who is presented with a non-metastatic primary vaginal leiomyosarcoma of 20 cm. The treatment consisted of neoadjuvant chemotherapy, followed by hemostatic surgery with tumor resection limits, reinforced by radiotherapy and then a surgical resection with a tumor resection taking away the infiltrated part of the anterior face of the lower rectum and the realization of a left iliac colostomy whose resected tumor part limits were healthy. At present, the patient is 4 years of follow-up without locoregional or distant recurrence.
原发性阴道肉瘤是一种罕见的疾病实体，在阴道癌病例中报告的比例不到3%。我们报告了一名在摩洛哥乌季达地区肿瘤中心接受治疗的患者，该患者患有20厘米的非转移性原发性阴道平滑肌肉瘤。治疗包括新辅助化疗，随后进行止血手术并确定肿瘤切除范围，辅以放疗，然后进行手术切除，切除肿瘤时一并切除下直肠前壁的浸润部分，并实施左髂结肠造口术，切除的肿瘤部分边缘均为健康组织。目前，该患者已随访4年，无局部或远处复发。
