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作 者:Pan Xu Shan-Shan Ling E Hu Bi-Xia Yi
机构地区:[1]Department of Gynecology,The Affiliated Jinhua Hospital of Wenzhou Medical University,Jinhua 321000,Zhejiang Province,China [2]Zhejiang University School of Medicine,Hangzhou 310006,Zhejiang Province,China
出 处:《World Journal of Clinical Cases》2024年第14期2396-2403,共8页世界临床病例杂志
摘 要:BACKGROUND Rhabdomyosarcoma(RMS)of the vagina in postmenopausal women is an extre-mely rare malignant tumor that was originally described as a unique group of soft tissue sarcomas originating from primitive mesenchymal cells.It was first re-ported in postmenopausal women in 1970,and fewer than 50 postmenopausal patients have been reported to date.CASE SUMMARY A 68-year-old multiparous female was admitted to the hospital on October 11,2023,with the chief complaint of a mass causing vaginal prolapse with incomplete urination that had persisted for 4 months.The vaginal mass was approximately the size of a pigeon egg;after lying down,the vaginal mass retracted.Complete resection was performed,and vaginal pleomorphic RMS was diagnosed based on pathology and immunohistochemical staining features.The patient is currently undergoing chemotherapy.The present study also reviewed the clinical,histolo-gical,and immunohistochemical features and latest treatment recommendations for vaginal RMS.Any abnormal vaginal mass should be promptly investigated through pelvic examination and appropriate imaging.The current initial treat-ment for vaginal RMS is biopsy and primary chemotherapy.CONCLUSION When surgery is planned for vaginal RMS,an organ-preserving approach should be considered.
关 键 词:RHABDOMYOSARCOMA VAGINA Postmenopausal woman PLEOMORPHIC Case report
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