Cantrell C J, Wilkinson E J
Obstet Gynecol. 1983 Oct;62(4):530-4.
Two cases of recurrent squamous cell carcinoma of the cervix within pelvic-abdominal lymphocysts are presented. The majority of symptomatic lymphocysts after radical pelvic surgery present in the early postoperative period. When lymphocysts become clinically apparent many months after surgery, differentiating the usual benign cystic masses from those involving the recurrent tumor may be difficult. The diagnosis and management of the late-occurring lymphocysts are discussed. From the authors' experience and a review of the literature, it can be concluded that a lymphocyst occurring six months after surgery is unusual, and this should be highly suspect of harboring recurrent tumor. Adequate excision of the lymphocyst wall for histologic study is the most accurate method to rule out recurrent carcinoma.
本文报告了两例盆腔 - 腹部淋巴囊肿内复发性宫颈鳞状细胞癌的病例。根治性盆腔手术后出现症状的淋巴囊肿大多在术后早期出现。当淋巴囊肿在手术后数月才在临床上显现时，区分常见的良性囊肿性肿块与那些涉及复发性肿瘤的肿块可能会很困难。本文讨论了迟发性淋巴囊肿的诊断和处理。根据作者的经验并回顾文献可以得出结论，术后六个月出现的淋巴囊肿并不常见，应高度怀疑其含有复发性肿瘤。对淋巴囊肿壁进行充分切除以进行组织学研究是排除复发性癌的最准确方法。
