RESUMO
Between 1986 and 1992, 42 patients with carcinoma of the vulva diagnosis, were treated at the Hospital de Oncologia, CMN, SXXI. Mean age was 63 years. There was 1 case stage I, 5 stage II, 25 stage III, 4 stage IV, 2 with recurrent disease and 5 patients could not be classified. Local control was reached in 60% of patients however, 12 patients developed local recurrence after surgery and/or radiation therapy, finally 43% of patients remained disease free after a mean of 19 months of followup. In the subset of advanced disease patients treated with radical or preoperative radiation therapy (27 patients), 41% of them remained without disease. Mean radiation doses for patients treated only with radiation therapy was 6500 cGy. Late vulvar fibrosis and acute desquamative dermatitis, were the morbidity more frequently observed. New directions in the management of vulvar cancer must be developed to improve treatment results, in patients with advanced disease.
Assuntos
Neoplasias Vulvares/radioterapia , Radioisótopos de Cobalto/uso terapêutico , Intervalo Livre de Doença , Feminino , Seguimentos , Humanos , Pessoa de Meia-Idade , Recidiva Local de Neoplasia , Cuidados Pós-Operatórios , Cuidados Pré-Operatórios , Radiodermite/etiologia , Radioterapia/efeitos adversos , Dosagem Radioterapêutica , Fatores de Tempo , Neoplasias Vulvares/mortalidade , Neoplasias Vulvares/cirurgiaRESUMO
One case of lithopedion incidentally diagnosis during diagnostic workup in a patient with invasive carcinoma of the cervix is described. Some aspects of carcinoma of the cervix and pregnancy are discussed.
Assuntos
Calcinose/complicações , Carcinoma de Células Escamosas/complicações , Feto , Neoplasias do Colo do Útero/complicações , Carcinoma de Células Escamosas/patologia , Feminino , Feto/diagnóstico por imagem , Humanos , Pessoa de Meia-Idade , Radiografia , Neoplasias do Colo do Útero/patologiaRESUMO
A case of adenosquamous ovarian carcinoma in a 50 years old female is reported. The patient had marked improvement of her symptoms after resection of the tumor and chemotherapy. The knowledge of this association forces to rule out an ovarian carcinoma.