Sarcoma botryoides of the uterine cervix: A case report (embryonal rhabdomyosarcoma).:A case report (embryonal rhabdomyosarcoma)

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Sarcoma botryoides of the uterine cervix was diagnosed in an 18-year-old female. In March, 1991, she had intermenstrual vaginal bleeding, and on July 4 examination in a local clinic revealed a cervical polyp. On the following day she was referred to our department. A polypoid pale yellow edematous tumor protruded from the uterus through the cervix into the vagina. The tumor was removed and examined immediately. The histological diagnosis was sarcoma botryoides, so she was admitted for further examinations and treatment. Special stains of the tissue showed no striated muscle, but myoglobin and desmin were demonstrated, confirming the diagnosis of sarcoma botryoides. On July 18 a modified radical hysterectomy, bilateral salpingo-oophorectomy and pelvic lymphnode resection was performed. The grade of malignancy was reported as Group I (The International Rhabdomyosarcoma Study classification). The patient received three courses of VAC (vincristine, actinomycin-D, cyclophosphamide) as postoperative chemotherapy. She was discharged from the hospital on October 24, 1991. During the 18 months since then there has been no sign of recurrence. [Adv Obstet Gynecol 45 (4); 473-478, 1993 (H5.7)]
近畿産科婦人科学会の論文