UTERINE MYXOID LEIOMYOSARCOMA AND CYVADIC-ETOPOSIDE THERAPY

被引:8
作者
FUKUNISHI, H [1 ]
YUKIMURA, N [1 ]
TAKEUCHI, S [1 ]
KITAZAWA, S [1 ]
机构
[1] KOBE UNIV,SCH MED,DEPT PATHOL,KOBE 650,JAPAN
关键词
MYXOID LEIOMYOSARCOMA; MITOTIC COUNT; CYVADIC-ETOPOSIDE CHEMOTHERAPY;
D O I
10.1016/0020-7292(94)90413-8
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objectives: To conduct a pathological characterization of rare uterine myxoid leiomyosarcoma (MLS) and establish an effective chemotherapy for metastasis after hysterectomy. Methods: Histological and immunohistochemical methods were used to characterize the type of uterine MLS in a 39-year-old female. For multiple lung metastases found 3 months after operation, CYVADIC (400 mg cyclophosphamide, 1 mg vincristine, 50 mg epirubicin and 400 mg dacarbazine per body for one course) and oral etoposide (50 mg/body per day for 2 weeks) were applied. Results: The rapidly enlarging uterine tumors exhibited gelatinous cut surfaces, a high count of 30 mitotic cells per 10 hpf and mucinous stroma, indicating a rare high-mitotic type of uterine MLS. The two-course CYVADIC-etoposide therapy was effective for disseminated pulmonary metastases. Conclusion: The present MLS was a rare high-mitotic type. CYVADIC-etoposide was an optional effective chemotherapy for lung metastasis in this case.
引用
收藏
页码:321 / 324
页数:4
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