AMPUTATION OF CERVIX AND NEOCERVIX CREATION USING STURMDORF TECHNIQUE IN RECURRENT CERVICAL SARCOMA BOTRYOIDES: A CASE REPORT

Pribakti Budinurdjaja, Ihya Ridlo Nizomy, Inas Tsurayya Fauziah Lahdimawan
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Abstract

Abstract: Sarcoma botryoides, or embryonal rhabdomyosarcoma, is soft tissue sarcoma arises from embryonic muscle cells and normally present with discharge, bleeding, or a visible mass at the vaginal introitus in infants and children. Aim of this study is to report a case of cervical sarcoma botryoides. Method used is a Case report. A 16-year-old girl, nulliparous, complained abnormal vaginal bleeding and a protruding vaginal mass. Patient underwent first surgery, mass recurrent five months later. The second surgery was performed by cervical amputation and neocervix creation using Sturmdorf sutures technique. Postoperative week 12 demonstrated a healthy neocervix in appearance, her menses have resumed, indicated patency. She has no evidence of disease 3 months after diagnosis. Cervical sarcoma botryoides is a rare malignancy. Clinicians must thoroughly examine any polyp or mass protrudes from vagina. Early diagnosis and treatment are essential for better prognosis. Sarcoma botryoides has a much improved prognosis with multimodality treatment. To determine the long-term survival and future potential fertility outcome, larger study and longer follow-up are needed. Keywords: sarcoma, botyroides, embryonal, rhabdomyosarcoma, neocervix
应用STURMDORF技术切除宫颈并制作新宫颈治疗复发性子宫颈肉瘤1例
摘要:肉毒杆菌肉瘤,或称胚胎性横纹肌肉瘤,是一种由胚胎肌肉细胞引起的软组织肉瘤,通常表现为婴儿和儿童阴道分泌物、出血或可见肿块。本研究的目的是报告一例肉毒杆菌样宫颈肉瘤。使用的方法是案例报告。一名16岁未产妇,主诉阴道异常出血和阴道肿块突出。患者接受了第一次手术,肿块在五个月后复发。第二次手术采用Sturmdorf缝合技术进行了宫颈截肢和新宫颈成形术。术后第12周,新宫颈外观健康,月经已恢复,显示通畅。确诊3个月后,她没有任何疾病迹象。肉毒杆菌样宫颈肉瘤是一种罕见的恶性肿瘤。临床医生必须彻底检查任何从阴道突出的息肉或肿块。早期诊断和治疗对改善预后至关重要。多模式治疗可大大改善肉毒杆菌肉瘤的预后。为了确定长期生存率和未来潜在的生育结果,需要进行更大规模的研究和更长时间的随访。关键词:肉瘤,肉毒杆菌样,胚胎性,横纹肌肉瘤,新宫颈
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