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女性尿道原发性印戒细胞癌:一例报告。

Primary signet ring cell carcinoma of the female urethra: A case report.

作者信息

Xu Pan, Ling Shan-Shan, Hu E, Yi Bi-Xia

机构信息

Department of Gynecology, Affiliated Jinhua Hospital of Wenzhou Medical University, Jinhua 321000, Zhejiang Province, China.

Zhejiang University School of Medicine, Hangzhou 310006, Zhejiang Province, China.

出版信息

World J Clin Cases. 2025 Sep 26;13(27):107158. doi: 10.12998/wjcc.v13.i27.107158.

DOI:10.12998/wjcc.v13.i27.107158
PMID:40881900
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12362448/
Abstract

BACKGROUND

Primary signet ring cell carcinoma of the urethra in women is an exceedingly rare malignancy. It was first reported in postmenopausal women in 1987, and only five patients have been reported to date.

CASE SUMMARY

A 61-year-old woman presented with irregular vaginal bleeding, and subsequent evaluation identified a tumor located in the distal urethra. Upon diagnosis of primary urethral carcinoma, she underwent a distal urethrectomy. Histopathological analysis demonstrated that the tumor consisted of a combination of intestinal adenocarcinoma and signet ring cell carcinoma. At the 12-month postoperative follow-up, there was no evidence of disease recurrence.

CONCLUSION

This case report highlights the exceptional rarity of female urethral signet ring cell carcinoma, emphasizing the importance of early clinical detection and the necessity for precise and conservative surgical intervention.

摘要

背景

女性原发性尿道印戒细胞癌是一种极其罕见的恶性肿瘤。1987年首次报道于绝经后女性,迄今为止仅报道了5例患者。

病例摘要

一名61岁女性出现不规则阴道出血,随后的评估发现远端尿道有一个肿瘤。诊断为原发性尿道癌后,她接受了远端尿道切除术。组织病理学分析表明,肿瘤由肠腺癌和印戒细胞癌组成。术后12个月随访时,没有疾病复发的证据。

结论

本病例报告突出了女性尿道印戒细胞癌的异常罕见性,强调了早期临床检测的重要性以及精确和保守手术干预的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/314e/12362448/edb383167a8e/wjcc-13-27-107158-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/314e/12362448/49a1500e4532/wjcc-13-27-107158-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/314e/12362448/edb383167a8e/wjcc-13-27-107158-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/314e/12362448/49a1500e4532/wjcc-13-27-107158-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/314e/12362448/edb383167a8e/wjcc-13-27-107158-g002.jpg

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本文引用的文献

1
Primary urethral carcinoma: Recommendations of the oncology committee of the French Urology Association.原发性尿道癌:法国泌尿外科协会肿瘤学委员会的建议。
Fr J Urol. 2024 Jun;34(5):102606. doi: 10.1016/j.fjurol.2024.102606. Epub 2024 Mar 23.
2
Primary signet ring cell carcinoma of the male urethra.男性尿道原发性印戒细胞癌。
Ecancermedicalscience. 2022 Jul 7;16:1426. doi: 10.3332/ecancer.2022.1426. eCollection 2022.
3
Primary Female Urethral Carcinoma: Proposed Staging Modifications Based on Assessment of Female Urethral Histology and Analysis of a Large Series of Female Urethral Carcinomas.
原发性女性尿道癌:基于女性尿道组织学评估和大量女性尿道癌分析的分期修改建议。
Am J Surg Pathol. 2020 Dec;44(12):1591-1601. doi: 10.1097/PAS.0000000000001569.
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European Association of Urology Guidelines on Primary Urethral Carcinoma-2020 Update.欧洲泌尿外科学会原发性尿道癌指南-2020 更新版。
Eur Urol Oncol. 2020 Aug;3(4):424-432. doi: 10.1016/j.euo.2020.06.003. Epub 2020 Jun 27.
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Where does signet-ring cell carcinoma come from and where does it go?印戒细胞癌从何而来,又去向何方?
Gastric Cancer. 2019 Jul;22(4):651-652. doi: 10.1007/s10120-019-00960-w. Epub 2019 Apr 8.
6
Outcomes and Prognostic Factors of Primary Urethral Cancer.原发性尿道癌的治疗结果及预后因素
Urology. 2017 Feb;100:180-186. doi: 10.1016/j.urology.2016.09.042. Epub 2016 Oct 5.
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Prognostic factors and outcomes in primary urethral cancer: results from the international collaboration on primary urethral carcinoma.原发性尿道癌的预后因素及结局:原发性尿道癌国际协作研究结果
World J Urol. 2016 Jan;34(1):97-103. doi: 10.1007/s00345-015-1583-7. Epub 2015 May 17.
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Signet ring adenocarcinoma of a urethral diverticulum.尿道憩室印戒腺癌。
J Surg Case Rep. 2011 Apr 1;2011(4):2. doi: 10.1093/jscr/2011.4.2.
9
Primary urethral carcinoma in females: an epidemiologic study on demographical factors, histological types, tumour stage and survival.女性原发性尿道癌:人口统计学因素、组织学类型、肿瘤分期和生存的流行病学研究。
World J Urol. 2013 Feb;31(1):147-53. doi: 10.1007/s00345-012-0882-5. Epub 2012 May 22.
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Incidence of primary urethral carcinoma in the United States.美国原发性尿道癌的发病率。
Urology. 2006 Dec;68(6):1164-8. doi: 10.1016/j.urology.2006.08.1057. Epub 2006 Dec 4.