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Titolo:
Primary epithelioid sarcoma of the vulva
Autore:
Kasamatsu, T; Hasegawa, T; Tsuda, H; Okada, S; Sawada, M; Yamada, T; Tsunematsu, R; Ohmi, K; Mizuguchi, K; Kawana, T;
Indirizzi:
Natl Canc Ctr Hosp, Div Gynecol, Chuo Ku, Tokyo 1040045, Japan Natl Canc Ctr Hosp Tokyo Japan 1040045 ol, Chuo Ku, Tokyo 1040045, Japan Natl Canc Ctr, Res Inst, Div Pathol, Tokyo 104, Japan Natl Canc Ctr Tokyo Japan 104 tr, Res Inst, Div Pathol, Tokyo 104, Japan Teikyo Univ, Sch Med, Div Pathol, Kanagawa, Japan Teikyo Univ Kanagawa Japan o Univ, Sch Med, Div Pathol, Kanagawa, Japan Teikyo Univ, Sch Med, Dept Obstet & Gynecol, Kanagawa, Japan Teikyo Univ Kanagawa Japan Med, Dept Obstet & Gynecol, Kanagawa, Japan
Titolo Testata:
INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER
fascicolo: 4, volume: 11, anno: 2001,
pagine: 316 - 320
SICI:
1048-891X(200107/08)11:4<316:PESOTV>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
DIAGNOSIS; CARCINOMA;
Keywords:
epithelioid sarcoma; radical vulvectomy; vulva;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Kasamatsu, T Natl Canc Ctr Hosp, Div Gynecol, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, Japan Natl Canc Ctr Hosp 5-1-1 Tsukiji Tokyo Japan 1040045 , Japan
Citazione:
T. Kasamatsu et al., "Primary epithelioid sarcoma of the vulva", INT J GYN C, 11(4), 2001, pp. 316-320

Abstract

A case of a 31-year-old woman with epithelioid sarcoma of the vulva which metastasized to the regional lymph node 8 years after onset of the disease is reported here. The patient first noticed a painless subcutaneous mass of5 mm in diameter in the right labium majus at age of 21. This was excised locally at age 23, but recurred 17 months later. Although local excision was again performed, the tumor recurred and continued to enlarge very slowly. At this stage, based on the pathology of both the initial and second tumors, the diagnosis was of a benign inflammatory process. However, local recurrence and inguinal lymph node swelling occurred at age 29, and biopsy was taken. The pathology report indicated benign granulomatous changes. The slides were reconsidered and reinterpreted as epithelioid sarcoma, whereupon radical vulvectomy was performed at age 31. Vulvar epithelioid sarcoma with inguinal lymph node metastasis was first diagnosed at that time. Epithelioidsarcoma of the vulva is an exceedingly rare tumor, and only 15 cases have been reported thus far in the literature. Early diagnosis and curative treatment of this tumor may be problematic for gynecologists because of its rarity and therefore little-known characteristic clinical behavior and histology. Radical vulvectomy or extensive local excision with inguinal lymphadenectomy at the time of diagnosis is recommended as the treatment of choice.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/09/20 alle ore 16:41:56