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[阴道分泌物的罕见病因:葡萄状肉瘤]

[An rare cause of vaginal discharge: sarcoma botryoides].

作者信息

Oude Elberink C S, van de Walle A F, van Dijk M A, Voûte P A

机构信息

Elkerliek Ziekenhuis, Helmond.

出版信息

Ned Tijdschr Geneeskd. 1998 Jul 25;142(30):1728-32.

PMID:9763870
Abstract

A general practitioner was consulted by a 15-year-old girl, virgo, suffering from foetid vaginal discharge. The girl was seen by a gynaecologist after antimicrobial treatment had failed. Further investigations revealed that a embryonal rhabdomyosarcoma was present, a sarcoma botryoides. The tumour originating from the cervix uteri was resected completely after which chemotherapy was started. One year later there were no sequelae or indications of metastases. Sarcoma botryoides has a better prognosis than other types of rhabdomyosarcoma. The prognosis is also influenced by the site of origin, which is favourable for the cervix.

摘要

一名15岁处女女孩因阴道恶臭分泌物向全科医生咨询。抗菌治疗失败后,该女孩由妇科医生诊治。进一步检查发现存在胚胎性横纹肌肉瘤,即葡萄状肉瘤。源自子宫颈的肿瘤被完全切除,之后开始化疗。一年后,没有后遗症或转移迹象。葡萄状肉瘤的预后比其他类型的横纹肌肉瘤更好。预后还受起源部位影响,子宫颈部位的预后较好。

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