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宫颈血管周上皮样细胞瘤:一种罕见肿瘤诊断与预后的挑战

Cervical PEComa: Challenges in diagnosis and prognosis of a rare neoplasm.

作者信息

Mah Sarah J, Hoang Lien, Lee Shaina, Finlayson Sarah, Carey Mark S

机构信息

Department of Obstetrics and Gynecology, McMaster University, Hamilton, ON, Canada.

Department of Anatomical Pathology, University of British Columbia, Vancouver General Hospital, Vancouver, BC, Canada.

出版信息

Gynecol Oncol Rep. 2023 Jul 7;48:101238. doi: 10.1016/j.gore.2023.101238. eCollection 2023 Aug.

DOI:10.1016/j.gore.2023.101238
PMID:37502444
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10368816/
Abstract

•Cervical PEComas are rare neoplasms which present a diagnostic challenge.•Large tumour size is an important clinical prognosticator in cervical PEComa.•All reported cases of cervical PEComa classified as benign by Folpe criteria behaved in benign fashion clinically.•Tumours ≤ 4 cm may be assessed with cone biopsy, and simple hysterectomy considered if no adverse pathologic features.•Molecular characterization and linkage with coordinated rare tumour registries may identify novel treatments.

摘要

•宫颈血管周上皮样细胞瘤(PEComa)是罕见肿瘤,诊断具有挑战性。

•肿瘤体积大是宫颈PEComa重要的临床预后指标。

•所有根据福尔佩标准分类为良性的宫颈PEComa报告病例临床行为均为良性。

•直径≤4cm的肿瘤可行锥形活检评估,若无不良病理特征可考虑单纯子宫切除术。

•分子特征分析以及与罕见肿瘤协作登记系统的关联可能会确定新的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e53/10368816/627013d770cb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e53/10368816/627013d770cb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e53/10368816/627013d770cb/gr1.jpg

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Gynecol Oncol Rep. 2023 Jul 7;48:101238. doi: 10.1016/j.gore.2023.101238. eCollection 2023 Aug.
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本文引用的文献

1
PEComa of Uterine Cervix.子宫颈血管周上皮样细胞瘤
Indian J Surg Oncol. 2021 Dec;12(4):686-687. doi: 10.1007/s13193-021-01416-3. Epub 2021 Aug 16.
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ConCerv: a prospective trial of conservative surgery for low-risk early-stage cervical cancer.ConCerv:低危早期宫颈癌保守性手术的前瞻性研究。
Int J Gynecol Cancer. 2021 Oct;31(10):1317-1325. doi: 10.1136/ijgc-2021-002921. Epub 2021 Sep 7.
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Uterine PEComas: A Morphologic, Immunohistochemical, and Molecular Analysis of 32 Tumors.子宫的上皮样血管平滑肌肿瘤:32 例肿瘤的形态学、免疫组化和分子分析。
Am J Surg Pathol. 2018 Oct;42(10):1370-1383. doi: 10.1097/PAS.0000000000001119.
4
Perivascular Epithelioid Cell Tumor (PEComa) of the Uterine Cervix: A Case Report of a 43-Yr-Old Woman With Abnormal Uterine Bleeding Treated With Hysterectomy.子宫颈血管周上皮样细胞瘤(PEComa):一例43岁子宫异常出血行子宫切除术治疗的女性病例报告
Int J Gynecol Pathol. 2018 Sep;37(5):492-496. doi: 10.1097/PGP.0000000000000436.
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Perivascular epithelioid cell tumors of the uterine cervix.子宫颈血管周上皮样细胞瘤
Pathol Res Pract. 2016 Aug;212(8):667-71. doi: 10.1016/j.prp.2016.03.010. Epub 2016 Mar 30.
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PEComa: morphology and genetics of a complex tumor family.血管周上皮样细胞瘤:一个复杂肿瘤家族的形态学与遗传学
Ann Diagn Pathol. 2015 Oct;19(5):359-68. doi: 10.1016/j.anndiagpath.2015.06.003. Epub 2015 Jun 9.
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Sentinel node mapping with indocyanine green and endoscopic near-infrared fluorescence imaging in endometrial cancer. A pilot study and review of the literature.子宫内膜癌中吲哚菁绿和内镜近红外荧光成像的前哨淋巴结绘图。一项初步研究和文献复习。
Gynecol Oncol. 2015 Jun;137(3):443-7. doi: 10.1016/j.ygyno.2015.03.004. Epub 2015 Mar 11.
8
Perivascular epithelioid tumours (PEComas) of the gynaecological tract.生殖道血管周上皮样肿瘤(PEComas)
J Clin Pathol. 2015 Jun;68(6):418-26. doi: 10.1136/jclinpath-2015-202945. Epub 2015 Mar 6.
9
Malignant perivascular epithelioid cell tumor (PEComa) of cervix with TFE3 gene rearrangement: a case report.宫颈恶性血管周上皮样细胞瘤(PEComa)伴TFE3基因重排:一例报告
Int J Clin Exp Pathol. 2014 Aug 15;7(9):6409-14. eCollection 2014.
10
Perivascular Epithelioid Cell Tumor (PEComa) of the Uterine Cervix in a Patient with Tuberous Sclerosis Complex: A Literature Review.结节性硬化症患者宫颈血管周围上皮样细胞瘤(PEComa):文献综述
Turk Patoloji Derg. 2018;34(1):82-86. doi: 10.5146/tjpath.2014.01274.