Curtis M G, Hopkins M P, Cross B, Tantri M D, Jenison E L, Rehmus E
Department of Obstetrics & Gynecology, Northeastern Ohio Universities College of Medicine, Akron General Medical Center 44307.
Gynecol Oncol. 1994 Mar;52(3):413-5. doi: 10.1006/gyno.1994.1072.
We report a patient with well-differentiated adenocarcinoma of the endometrium who developed a recurrence in the anterior abdominal wall probably secondary to wound seeding at the time of her original surgery. She underwent total abdominal hysterectomy, bilateral salpingo-oophorectomy. She then received 15 mCi of 32P for positive peritoneal washings. She was free of disease until 2 years later when a large lower incision mass developed. She had no evidence for intra-abdominal disease and a radical resection with a myocutaneous flap was undertaken. Radical resection for isolated metastases may be of benefit for patients with endometrial cancer. Patients with positive cytology should be observed closely for incisional recurrence.
我们报告了一名子宫内膜高分化腺癌患者，其前腹壁出现复发，可能是由于初次手术时伤口种植所致。她接受了全腹子宫切除术及双侧输卵管卵巢切除术。随后，因腹腔冲洗液阳性，她接受了15毫居里的32P治疗。在2年无病期后，她在下腹部切口处出现一个巨大肿块。她没有腹腔内疾病的证据，遂进行了带肌皮瓣的根治性切除术。对于子宫内膜癌患者，孤立转移灶的根治性切除可能有益。细胞学检查阳性的患者应密切观察切口复发情况。
