对宫颈部息肉样胚性横纹肌肉瘤(葡萄状肉)患者行保留生育功能的手术及辅助化疗  

Embryonal rhabdomyosarcoma (sarcoma botryoides)of the cervix presenting as a cer-vical polyp treated with fertility-sparing surgery and adjuvant chemotherapy

作　　者：Bernal K.L. Fahmy L. Remmenga S. 郭慧芳 

出　　处：《世界核心医学期刊文摘（妇产科学分册）》2005年第2期55-55,共1页Core Journal in Obstetrics/Gynecology

摘　　要：Embryonal rhabdomyosarcoma (sarcoma botryoides)of the female genital tract is rare in the cervix.It tends to occur in children and young women,and appears to have a better prognosis than sarcoma botryoides o f the vagina and uterus.We report a case of embryonal rhabdom yosarcoma (sarcoma botryoides)presenting as a cervical polyp in a 19-year -old female.The tumorwas composed of rhabdomyoblasts of varying differentiation dispersed within a loose,myxoid stroma,and formed a distinct’cambium’layer beneath the epithelium.The patient was successfully treated with fer-tility -sparing surgery and adjuvan t chemotherapy.Awareness of this uncommon lesion in this site and its clinical implications is important to avoid misdiagnosis.Therapy has recently inclined towards conservative treat-ment.Embryonal rhabdomyosarcoma (sarcoma botryoides)of the female genital tract is rare in the cervix.It tends to occur in children and young women,and appears to have a better prognosis than sarcoma botryoides o f the vagina and uterus.We report a case of embryonal rhabdom yosarcoma (sarcoma botryoides)presenting as a cervical polyp in a 19-year -old female.The tumorwas composed of rhabdomyoblasts of varying differentiation dispersed within a loose,myxoid stroma,and formed a distinct'cambium'layer beneath the epithelium.The patient was successfully treated with fer-tility -sparing surgery and adjuvan t chemotherapy.Awareness of this uncommon lesion in this site and its clinical implications is important to avoid misdiagnosis.Therapy has recently inclined towards conservative treat-ment.

关 键 词：宫颈部 辅助化疗 息肉样 横纹肌肉瘤 葡萄状肉瘤 横纹肌母细胞 女性生殖系统 分化程度 黏液性 特殊病变 

分 类 号：R737.33[医药卫生—肿瘤]