宫颈癌:一种罕见的宫颈侧部肿瘤。

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Archive of clinical cases Pub Date : 2021-10-27 eCollection Date: 2019-01-01 DOI:10.22551/2019.23.0602.10154
Gabriela Maria Aniţei, Nicolae Şerban Ioanid, Geanina Bandol, Elena Rodica Gafton, Ana Maria Patraşcu, Dan Ferariu, Angelica Slătineanu, Gema Bugean, Viorel Scripcariu
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引用次数: 2

摘要

多孔癌是一种罕见的内分泌汗腺肿瘤,通常扩散到局部淋巴结,但也可以发生远处转移。病例介绍:我们报告一例67岁的女性患者,她在初级保健中心接受了左侧宫颈皮肤肿瘤的广泛手术切除,标本的组织学检查为混合基底细胞癌和鳞状细胞癌。她被转诊至我院肿瘤门诊,经组织学重新评估诊断为内分泌腺孔癌(EPC)。计算机断层扫描(CT)显示颈部淋巴结病变,患者接受了4个周期的化疗,未见好转。随后,她接受了左侧颈前上段淋巴结切除术(IIa组),所有淋巴结均为阴性,三个月后,她在腮腺下出现了一种独特的腺病,切除后确诊为转移。术后给予外放射治疗,CT扫描结果良好。在她最后一次手术九个月后,病人没有任何复发或远处转移的迹象。结论:EPC在诊断和治疗上都是一个挑战。在缺乏关于淋巴结切除术和辅助治疗的适应症和范围的共识时,EPC患者应转介到三级中心有经验的多学科团队。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Porocarcinoma: a rare cause of lateral cervical tumor.

Porocarcinoma is a rare tumor of the eccrine sweat glands that usually disseminates to the regional lymph nodes, but it can also develop distant metastasis. Case presentation: We report the case of a 67 year-old female patient who underwent wide surgical resection of a left cervical cutaneous tumor in a primary care center, for which the histology exam of the specimen was mixed basal cell and squamous cell carcinoma. She was referred to our hospital's oncology clinic and histologic re-evaluation changed the diagnosis to eccrine porocarcinoma (EPC). Computer-tomography (CT) revealed cervical lymphadenopathies for which the patient underwent 4 cycles of chemotherapy, without regression. She subsequently underwent a left upper anterior jugular lymphadenectomy (group IIa) with all nodes being negative and, three months later, she developed a unique adenopathy under the parotid gland that was excised and confirmed to be metastatic. Postoperative external radiotherapy was administered with a good outcome on CT scan. Nine months after her last surgery, the patient did not show any sign of recurrence or distant metastasis. Conclusion: EPC is a challenge, both diagnostically and therapeutically. In the absence of consensus regarding the indications and extent of lymphadenectomy and adjuvant therapy, patients with EPC should be referred to an experienced multidisciplinary team in a tertiary center.

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