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Development of vesicovaginal fistula caused by vaginal adenosis: A case report

Open Journal of Obstetrics and Gynecology 2013年第5期3卷 435-437页

作者： tasuku mariya Takahiro Suzuki Shutaro Habata Motoki Matsuura Miwa Suzuki Ryoichi Tanaka Tsuyoshi Saito Department of Obstetrics and Gynecology Sapporo Medical University Sapporo Japan

Introduction: Vaginal adenosis is one of the rare diseases of the vagina, and almost all patients are asymptomatic. We report a case of spontaneous vaginal adenosis, which caused vesicovaginal fistula. Case Presentation: Our patient was a 25-year-old Japanese woman. She was admitted to our hospital, and her chief complaint was continuous urine flow from the vagina. We found a tumor with a vesicovaginal fistula in her vagina. Subsequent cytological analysis of vaginal smears showed a normal vaginal mucosa. The patient underwent tumor resection and a fistula patch. Pathological diagnosis was adenosis of the vagina, even though the patient had no known history of intrauterine diethylstilbestrol exposure or Müllerian developmental abnormalities. Conclusion: The clinical course of our case was a malignant tumor, which invasively bored a hole in the vaginal wall forming a vesicovaginal fistula, even though it was a benign lesion. Therefore, overzealous treatment should be avoided in this case.

关键词： Vaginal Adenosis Vesicovaginal Fistula Surgical Repair Urine Continence

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Metastatic Carcinoma of the Uterine Cervix from Rectal Carcinoma: A Case Report and Review of the Literature

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Open Journal of Obstetrics and Gynecology 2014年第10期4卷 617-620页

作者： Motoki Matsuura Masato Tamate Masahiro Suzuki tasuku mariya Sakura Takada Yuta Tabuchi Mizue Teramoto Seiro Satohisa Ryoichi Tanaka Masahiro Iwasaki Kaori Fukunaka Noriyoshi Fukunaka Satoshi Tanaka Tsuyoshi Saito Department of Obstetrics and Gynecology Hakodate Goryoukaku Hospital Hakodate Japan Department of Obstetrics and Gynecology Sapporo Medical University Sapporo Japan

Primary adenocarcinomas of the uterine cervix account for 5% - 15% of all cervical malignancies, but secondary adenocarcinomas from extragenital cancers are rare. Only 35 cases have been reported in the literature since 1941. We report a 52-year-old Japanese woman who had been treated for rectal adenocarcinoma (Dukes C, stage IIIb) and who was diagnosed with primary uterine cervical carcinoma (FIGO stage Ib2) two years later. A radical hysterectomy was performed and the surgical specimen showed metastatic adenocarcinoma of the uterine cervix from rectal cancer without direct extension. Immunohistochemical staining was positive for cytokeratin 20 and CDX2, and negative for cytokeratin 7. Immunohistochemical staining is important for distinguishing between primary and secondary adenocarcinomas of the cervix, but histologic findings alone are not always adequate to establish the site of the primary lesion. The distinction between primary and secondary adenocarcinomas of the cervix is important for patient management and prognosis. Therefore, the possibility of metastatic adenocarcinoma should be considered whenever a diagnosis of adenocarcinoma of the cervix is received.

关键词： Metastatic Adenocarcinoma Cervical Cancer Colorectal Carcinoma

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