دورية أكاديمية
A Case of Malignant Melanoma of the Uterine Cervix with Disseminated Metastases throughout the Vaginal Wall
العنوان: | A Case of Malignant Melanoma of the Uterine Cervix with Disseminated Metastases throughout the Vaginal Wall |
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المؤلفون: | Tomoko Noguchi, Nami Ota, Yasushi Mabuchi, Shigetaka Yagi, Sawako Minami, Hisako Okuhira, Yuki Yamamoto, Yasushi Nakamura, Kazuhiko Ino |
المصدر: | Case Reports in Obstetrics and Gynecology, Vol 2017 (2017) |
بيانات النشر: | Hindawi Limited, 2017. |
سنة النشر: | 2017 |
المجموعة: | LCC:Gynecology and obstetrics |
مصطلحات موضوعية: | Gynecology and obstetrics, RG1-991 |
الوصف: | Malignant melanoma (MM) in the female genital tract accounts for less than 2% of all melanomas, and the vast majority associated occur in the vulva and vagina. Primary MM of the uterine cervix is extremely rare and its prognosis is very poor. We report a case of primary MM of the cervix with dissemination throughout the vaginal wall. A 66-year-old woman presented with postmenopausal bleeding. Gynecologic examination demonstrated a 2 cm polypoid blackish-pigmented tumor on the cervix with multiple small blackish-pigmented lesions throughout the vaginal wall. Cervical Pap smear cytology showed malignant melanoma. MRI and PET/CT did not detect any distant or lymph node metastases. She underwent radical hysterectomy, pelvic lymphadenectomy, and total vaginectomy. The pathological diagnosis was FIGO stage IIIA primary cervical MM. She received adjuvant chemotherapy with 6 courses of dacarbazine, but 6 months later, multiple lung metastases were detected. Despite 4 courses of anti-PD-1 antibody (nivolumab) treatment, she died of the disease 13 months after surgery. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2090-6684 2090-6692 |
Relation: | https://doaj.org/toc/2090-6684; https://doaj.org/toc/2090-6692 |
DOI: | 10.1155/2017/5656340 |
URL الوصول: | https://doaj.org/article/710d2f1ec18146a0b0c5483dc8ecb2f6 |
رقم الأكسشن: | edsdoj.710d2f1ec18146a0b0c5483dc8ecb2f6 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 20906684 20906692 |
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DOI: | 10.1155/2017/5656340 |