乙状结肠阴道成形术后的新阴道癌：对术后癌症监测的意义。
Neovaginal cancer after sigmoid vaginoplasty: Implications for postoperative cancer surveillance.
作者信息
van der Sluis Wouter B, de Boer Nanne K H, Buncamper Marlon E, van Bodegraven Adriaan A, Tuynman Jurriaan B, Bouman Mark-Bram
机构信息
Dept. of Plastic and Reconstructive Surgery, Amsterdam UMC, Amsterdam, the Netherlands.
Center of Expertise on Gender Dysfphoria, Amsterdam UMC, Amsterdam, the Netherlands.
出版信息
JPRAS Open. 2024 Mar 7;40:170-174. doi: 10.1016/j.jpra.2024.03.002. eCollection 2024 Jun.
BACKGROUND
Intestinal vaginoplasty can be performed as vaginal reconstruction procedure. Aa pedicled intestinal segment is isolated and transferred to the (neo)vaginal cavity to form the neovaginal lining.
CASE
A 38-year old patient with Fanconi anemia and congenital vaginal absence, who underwent sigmoid vaginoplasty at the age of one, visited the outpatient clinic with a palpable neovaginal mass. At MRI examination, a neovaginal tumor was observed of approximately 25 × 10 mm without lymphadenopathy, which turned out to be a mucinous adenocarcinoma (T3N0M0). She underwent excision of the total mesocolon, including the sigmoid neovagina, coloanal anastomosis and anus.
SUMMARY AND CONCLUSION
Postoperative cancer surveillance seems justified after sigmoid vaginoplasty, even more so in patients with a (genetically) high risk of developing cancer and/or with a history of malignancy.
背景
肠道阴道成形术可作为阴道重建手术进行。分离一段带蒂肠段并转移至（新）阴道腔以形成新阴道内衬。
病例
一名38岁患有范可尼贫血和先天性阴道缺如的患者，一岁时接受了乙状结肠阴道成形术，因可触及新阴道肿块前来门诊就诊。磁共振成像检查发现一个约25×10毫米的新阴道肿瘤，无淋巴结病，结果为黏液腺癌（T3N0M0）。她接受了包括乙状结肠新阴道、结肠肛管吻合术和肛门在内的全结肠系膜切除术。
总结与结论
乙状结肠阴道成形术后进行癌症监测似乎是合理的，对于有（遗传）癌症高发风险和/或有恶性肿瘤病史的患者更是如此。
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