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首页> 外文期刊>European journal of gynaecological oncology >Primary fallopian tube carcinoma clinically manifested as vaginal adenocarcinoma in a post-hysterectomy patient: a case report and literature review
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Primary fallopian tube carcinoma clinically manifested as vaginal adenocarcinoma in a post-hysterectomy patient: a case report and literature review

机译：初级输卵管癌癌临床表现为子宫切除术后患者的阴道腺癌：案例报告和文献综述

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Objective: The present authors describe the first case of a primary fallopian tube carcinoma (PFTC) clinically manifested as vaginal adenocarcinoma in a post-hysterectomy patient, and it reminds of the importance to perform bilateral salpingectomy during hysterectomy for a benign condition. Case Report: A 65-year-old woman with a history of hysterectomy presented with vaginal bleeding. Localized vaginal adenocarcinoma was diagnosed after the MRI, PET-CT scan, and biopsy. However, the final diagnosis of primary fallopian tube high grade serous adenocarcinoma was made after optimal laparoscopic cytoreductive surgery. She received chemotherapy with carboplatin and docetaxel given once every three weeks for six cycles. Conclusion: When the imaging results were indistinguishable, post-hysterectomy vaginal bleeding could be the only early symptom of PFTC, and bilateral salpingectomy is important to help prevent re-intervention for malignant or benign fallopian tube pathology. It still requires more research to preoperatively find a better diagnostic method for PFTC.
机译：目的：本提交人描述了临床表现出临床切除术患者的阴道腺癌（PFTC）的第一种案例，并提醒其在子宫切除术期间对良性病症进行双侧泻螨切除术的重要性。案例报告：一个65岁的女性，具有阴道出血的子宫切除术病史。在MRI，PET-CT扫描和活组织检查之后诊断出局部阴道腺癌。然而，在最佳腹腔镜细胞功能性手术之后制备了初级输卵管高级浆液癌的最终诊断。她每三周接受与卡铂和多西紫杉醇的化疗，每三个周期举行一次。结论：当成像结果难以区分时，子宫切除术后性阴道出血可能是PFTC的唯一早期症状，双侧SALPECTOMY是重要的，有助于防止重复性或良性输卵管病理学的重新干预。它仍然需要更多的研究以术前寻找一种更好的PFTC诊断方法。

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