Geisler J P, Lee T H, Cudahy T J, Penman J, Geisler H E
Department of Obstetrics and Gynecology, St. Vincent Hospital and Health Care Center, Indianapolis, Indiana.
Eur J Gynaecol Oncol. 1994;15(3):170-2.
Carcinoid tumors are uncommon tumors, derived from Kulchitsky cells, which generally follow a slow, orderly metastatic spread. They are often associated with second primary malignant neoplasms either synchronously or metachronously.
A 62 year old white female with a history of severe dysplasia of the vulva and carcinoid of the distal ileum presented with a presumed vulvar malignancy by biopsy from a referring hospital. She did not have symptoms of the carcinoid syndrome. Wide vulvar excision revealed chronic inflammation without residual tumor. Bilateral superficial and deep inguinal lymphadenectomy revealed metastatic carcinoid.
The inguinal lymph nodes should be considered a site of distant metastasis for carcinoid tumors of the distal ileum.
类癌是一种罕见肿瘤，起源于库尔契茨基细胞，通常呈缓慢、有序的转移扩散。它们常与同步或异时性的第二原发性恶性肿瘤相关。
一名62岁白人女性，有外阴重度发育异常和回肠末端类癌病史，转诊医院活检提示疑似外阴恶性肿瘤。她没有类癌综合征的症状。广泛外阴切除显示为慢性炎症，无残留肿瘤。双侧腹股沟浅深淋巴结清扫显示有转移性类癌。
对于回肠末端类癌，腹股沟淋巴结应被视为远处转移部位。
