TY - JOUR A2 - Tot, Tibor AU - Buppasiri, Pranom AU - Kleebkaow, Pilaiwan AU - Tharanon, Chantip AU - Aue-aungkul, Apiwat AU - Kietpeerakool，Chumnan PY - 2018 DA - 2018/07/26 TI -透明细胞癌中出现会阴部的子宫内膜异位症SP - 4263104六世- 2018 AB -我们报告的会阴部的透明细胞腺癌在一个女人的肿块和疼痛的右侧大阴唇。3年前，她接受了全腹子宫切除术、双侧输卵管卵巢切除术和阴唇肿块切除。病理检查发现子宫内有子宫腺肌症及多发性平滑肌瘤，双侧卵巢有子宫内膜异位症囊肿，阴唇肿块内有非典型子宫内膜异位症灶。转诊前的切口活检结果显示只有大汗腺囊瘤。体格检查发现右侧大阴唇有一硬块，延伸至右侧腹股沟。肿块似乎与耻骨联合连续性，需要耻骨切除和重建皮瓣手术，以实现完全切除。然而，病人拒绝接受如此大规模的手术。基于以往外阴子宫内膜异位症的诊断，她曾接受GnRH激动剂和醋酸甲羟孕酮治疗。然而，肿块发展成溃疡，体积增大。 A second biopsy of the mass was undertaken, and the pathological diagnosis was clear cell carcinoma with coexisting atypical endometriosis. Computed tomography of the abdominopelvic region showed an ulcerative mass at the right labia majora and nodal metastasis at the external iliac and inguinal regions. Systemic chemotherapy was administered. The growth of the tumors stabilized during the first two cycles of chemotherapy but rapidly progressed thereafter. At 17 months after her initial presentation, the patient passed away due to the progression of the disease. SN - 2090-6781 UR - https://doi.org/10.1155/2018/4263104 DO - 10.1155/2018/4263104 JF - Case Reports in Pathology PB - Hindawi KW - ER -