Yokoyama Y, Sato S, Kawaguchi T, Saito Y
Department of Obstetrics and Gynecology, Hirosaki University School of Medicine, Japan.
J Obstet Gynaecol Res. 1998 Feb;24(1):37-43. doi: 10.1111/j.1447-0756.1998.tb00050.x.
We report a case of concurrent uterine cervical adenocarcinoma and renal-cell carcinoma and a subsequent vaginal metastasis from the renal-cell carcinoma. The renal-cell carcinoma, which was located in the upper pole of the right kidney, was detected incidentally by preoperative CT scanning. We simultaneously performed in a timely manner radical hysterectomy, pelvic and paraaortic lymphadenectomies, and a right nephrectomy. Subsequently, however, the patient suffered from vaginal metastasis arising from the renal-cell carcinoma. As a result of this case, we emphasize the importance of making a thorough preoperative assessment prior to performance any definitive surgery for a gynecologic malignancy.
我们报告一例同时患有子宫颈腺癌和肾细胞癌，以及随后出现肾细胞癌阴道转移的病例。位于右肾上极的肾细胞癌是在术前CT扫描时偶然发现的。我们及时同时进行了根治性子宫切除术、盆腔和腹主动脉旁淋巴结清扫术以及右肾切除术。然而，随后患者出现了肾细胞癌的阴道转移。鉴于此病例，我们强调在对妇科恶性肿瘤进行任何确定性手术之前进行全面术前评估的重要性。
