Braun M, Wendler D, Bersch W, Heidenreich A, Braun H P
Klinik und Poliklinik für Urologie, MEK, Universität Köln.
Urologe A. 1998 Jul;37(4):382-5. doi: 10.1007/s001200050195.
In total malignant mixed tumors (carcinosarcomas) represent a very rare gynecological neoplasm. In accordance with the embryological genesis primary localizations are with descending probability the uterus, the ovarians and finally the tubes. We report on a 55 year old female patient, with a paraurethral mass, which was primarily diagnosed in 1994. Histopathological evaluation of a transvaginal biopsy did not demonstrate evidence of malignancy at that time. After painful enlargement the paraurethral mass was resected surgically and histopathological evaluation revealed a primary paraurethral malignant mixed tumor (carcinosarcoma). Postoperatively, the patient underwent percutaneous (46.4 Gy) and intracavitary (2 x 6 Gy) radiation. Twelve months postoperatively there is no evidence of disease.
总的来说，恶性混合瘤（癌肉瘤）是一种非常罕见的妇科肿瘤。根据胚胎发生学，其主要原发部位依次为子宫、卵巢，最后是输卵管。我们报告一例55岁女性患者，其尿道旁有一肿物，最初于1994年诊断。当时经阴道活检的组织病理学评估未显示恶性证据。在肿物疼痛性增大后，进行了手术切除，组织病理学评估显示为原发性尿道旁恶性混合瘤（癌肉瘤）。术后，患者接受了经皮放疗（46.4 Gy）和腔内放疗（2×6 Gy）。术后12个月无疾病证据。
