Nguyen L, Brewer C A, DiSaia P J
University of California Irvine, Department of Obstetrics and Gynecology, UCI Medical Center, Orange 92613-14091, USA.
Gynecol Oncol. 1998 Feb;68(2):198-200. doi: 10.1006/gyno.1997.4915.
We present a case report of a patient with a IB1 cervical squamous cell cancer which recurred in a transposed ovary 8 years following radical parametrectomy. The patient was initially treated with a simple vaginal hysterectomy for apparent CIS but was found to have an invasive squamous cell cancer to a depth of 7 mm into the stroma. She was treated with a radical parametrectomy, pelvic lymphadenectomy, and ovarian transposition. There was no evidence of residual disease. The patient then had an apparent isolated recurrence in her left ovary 8 years later. Although there are a few cases of stage IB squamous cell cancer metastatic to a transposed ovary, this is the first case with such minimal primary disease and delayed isolated recurrence.
我们报告一例IB1期宫颈鳞状细胞癌患者，在根治性子宫旁组织切除术后8年，转移至移位卵巢复发。该患者最初因疑似原位癌接受单纯阴道子宫切除术，但发现为浸润性鳞状细胞癌，浸润深度达基质7毫米。她接受了根治性子宫旁组织切除术、盆腔淋巴结清扫术和卵巢移位术。无残留疾病证据。8年后，患者左卵巢出现明显孤立性复发。虽然有少数IB期鳞状细胞癌转移至移位卵巢的病例，但这是首例原发疾病如此轻微且复发延迟的孤立病例。
