阴道小细胞神经内分泌癌:一种罕见的表现形式。
Small Cell Neuroendocrine Carcinoma of the Vagina: A Rare Presentation.
发表日期:2023 Jul
作者:
Asma Asghar, Asma Usman, Ali Zafar Sheikh, Honeyia Imran, Kashif Siddique
来源:
Burns & Trauma
摘要:
阴道原发性小细胞神经内分泌癌是一种非常罕见的疾病。我们报告了一例52岁女性病例,她就诊于医院,主要症状是尿滴漏、尿道灼热感、疼痛和经阴道出血,持续三到四个月。经特殊扩张器检查,在阴道前壁可触及一个约5-6厘米的坚硬球形肿块。通过组织活检和免疫组织化学检查,诊断为小细胞神经内分泌癌。诊断影像学(MRI,正电子发射断层扫描(PET-CT))在确定诊断和了解治疗反应中起着至关重要的作用。患者接受了六个周期的顺铂和依托泊苷化疗以及放疗,取得了完全缓解,病变完全消退。经过六个月的随访,患者未发现肿瘤复发、局部复发或远处转移。如今,在阴道小细胞神经内分泌癌的治疗中不再需要手术,放疗和化疗是首选治疗方法。我们报道了一例在我们医院接受治疗的阴道神经内分泌癌病例。版权所有 © 2023,Asghar等人。
Primary small cell neuroendocrine carcinoma of the vagina is a very rare disease. We present a case study of a 52-year-old female who presented to the hospital with complaints of urinary dribbling, burning micturition, pain, and per vaginal bleeding for three to four months. A firm globular mass of approximately 5-6 cm was felt in the anterior vaginal wall per speculum examination. Diagnosis of small cell neuroendocrine carcinoma was made with tissue biopsy and immunohistochemistry. Diagnostic imaging (MRI, positron emission tomography (PET)-CT) plays a vital role in reaching the diagnosis and understanding the treatment response. The patient received six cycles of chemotherapy with cisplatin and etoposide and radiotherapy, achieving a complete response, with complete regression of the lesion. The patient had no sign of tumor recurrence and locoregional or distant metastases after six months of follow-up. Nowadays, there is no need for surgery in the treatment of vaginal small cell neuroendocrine carcinoma, rather radiotherapy and chemotherapy are the treatment of choice. We report a case of neuroendocrine cancer of the vagina treated at our institution.Copyright © 2023, Asghar et al.