An exceptional survival term in primary neuroendocrine carcinoma of the vagina
Öz
Introduction: Primary vaginal malignant tumors are rare, especially neuroendocrine tumors. The primary small cell carcinoma of the vagina is an aggressive tumor with poor prognosis because of early recurrence and metastasis.
Aim: to report the complexity of treatment of primary neuroendocrine carcinoma of vagina, and its metastasis.
Material &methods: we report a retrospective case of primary neuroendocrine carcinoma of vagina treated in our institution.
Results: We report a case of a 37-year-old woman who was diagnosed with a small cell carcinoma of the vagina without distant metastasis. The primary vaginal tumor was treated by surgery, brachytherapy, and chemotherapy. The first recurrence appeared seven years after initial diagnosis, which was a pulmonary metastasis, treated surgically. Seven years after this recurrence, she was treated with chemotherapy and surgery for another pulmonary metastasis. Fifteen years after the initial diagnosis, the patient underwent surgery for brain metastasis. She died eighteen months after the third recurrence.
Conclusions: This case splendidly illustrates a long survival term of a tumor known with poor prognosis.
Anahtar Kelimeler
Kaynakça
- Reference 1. Scully Robert E.; Aguirre, Pascasio; DeLellis, Ronald A. Argyrophilia, serotonin, and peptide hormones in the female genital tract and its tumors. Int J Gynecol Pathol 1984;3(1):51-70.
- Reference 2. Prasad CJ, Ray JA, and Kessler S. Primary small cell carcinoma of the vagina arising in a background of atypical adenosis. Cancer 1992;70(10):2484–7.
- Reference 3. Miliauskas JR, Leong AS. Small cell (neuroendocrine) carcinoma of the vagina. Histopathology 1992;21:371–4.
- Reference 4. Howitt BE, Kelly P, Mc Cluggage WG. Pathology of Neuroendocrine Tumours of the Female Genital Tract. Curr Oncol Rep 2017;19(9):59.
- Reference 5. Bhalodia JN, Kapapura DV, and Parekh MN, Primary small cell neuroendocrine carcinoma of vagina: a rare case report. Patholog Res Int 2011;2011:306921.
- Reference 6. Kostamo K, Peart M, McKenzie N, Holloman C, Carlan SJ, Ge L, et al. Novel Treatment of Small-Cell Neuroendocrine of the Vagina. Case Rep Oncol Med 2018;2018:9157036.
- Reference 7. Cohen JG, Chan JK, Kapp DS. The management of small-cell carcinomas of the gynecologic tract. Curr Opin Oncol 2012;24(5):572-9.
- Reference 8. Joseph RE, Enghardt MH, Doering DL, Brown BF, Shaffer DW, Raval HB. Small cell neuroendocrine carcinoma of the vagina. Cancer 1992;70:784–9.
Ayrıntılar
Birincil Dil
İngilizce
Konular
-
Bölüm
Olgu Sunumu
Yazarlar
Malek Bouhani
*
0000-0001-5913-911X
Tunisia
Zemni İnes
Bu kişi benim
Tunisia
Yasmine Ayari
Bu kişi benim
Tunisia
Mohamed Amine Bouida
Bu kişi benim
Tunisia
Riadh Chargui
Bu kişi benim
Tunisia
Khaled Rahal
Bu kişi benim
Yayımlanma Tarihi
6 Aralık 2019
Gönderilme Tarihi
7 Nisan 2019
Kabul Tarihi
1 Ağustos 2019
Yayımlandığı Sayı
Yıl 2018 Cilt: 21 Sayı: 1