Bar-Dayan Y, Fishman A, Levi Z, Rachmani R
Department of Medicine, Meir Hospital, Kfar-Saba, Sackler Faculty of Medicine, Tel Aviv University, Israel.
Isr J Med Sci. 1997 Oct;33(10):674-6.
A psoas abscess-like metastasis of squamous cell carcinoma of uterine cervix was diagnosed in a 50-year-old, HIV-negative woman. While there was complete regression of the primary tumor, the psoas cystic lesion grew in size during chemotherapy, with iliac bone destruction and invasion to the gluteus muscle. A computed tomography-guided bone biopsy was done and histopathologic examination revealed squamous cell carcinoma consistent with the primary lesion. Intratumoral injection of cisplatin and radiotherapy resulted in partial relief of symptoms. This form of aggressive, bone destruction metastasis was hitherto reported only in association with AIDS.
一名50岁、HIV阴性的女性被诊断为宫颈鳞状细胞癌的腰大肌脓肿样转移。虽然原发肿瘤完全消退，但在化疗期间腰大肌囊性病变增大，伴有髂骨破坏并侵犯臀肌。进行了计算机断层扫描引导下的骨活检，组织病理学检查显示为与原发病变一致的鳞状细胞癌。瘤内注射顺铂和放疗使症状部分缓解。这种侵袭性骨破坏转移形式此前仅在与艾滋病相关的病例中报道过。
