1a1宫颈癌切除9个月后阴道缝合处至少Vain3病变咋办

已通过实名认证

执业资质已审核通过

陈旭妇科副主任医师

复旦大学附属华山医院（宝山院区）

好评 4.8

接诊量 9.4千

同行认可 100

可开处方

医学博士

从业29年

专业有效

耐心细致

上海市

问题描述：1a1宫颈癌切除9个月后，刚又发现阴道缝合处至少Vain3病变。在美国斯坦福医院刚做了PETCT, 结果如下 IMPRESSION: 1. Focal uptake along the distal sigmoid colon without a definite CT correlate. This could be related to a focal bowel lesion versus metastatic serosal implant. Consider pelvic MRI versus contrast enhanced CT to further evaluate. Attention on follow-up. 2. Otherwise, no evidence of distant metabolically active metastases. Biopsy-proven recurrence is not well seen。问发现的BOWEL LESION 是怎么回事（女，47）

分析及建议：术后复查HPV结果如何，这个就是导致阴道病变的原因，术前阴道壁应该也是有HPV感染，针对阴道病变要治疗，肠道这个问题估计没什么，petCT发现疑似，就像建议的可以做核磁共振增强排除，一般IA1期术后短时候很少有转移，阴道癌前病变可以做激光，明显增生物可以配合手术切除。

咨询时间: 2022-03-06

患者

1a1宫颈癌切除9个月后，刚又发现阴道缝合处至少Vain3病变。在美国斯坦福医院刚做了PETCT, 结果如下 IMPRESSION: 1. Focal uptake along the distal sigmoid colon without a definite CT correlate. This could be related to a focal bowel lesion versus metastatic serosal implant. Consider pelvic MRI versus contrast enhanced CT to further evaluate. Attention on follow-up. 2. Otherwise, no evidence of distant metabolically active metastases. Biopsy-proven recurrence is not well seen。问发现的BOWEL LESION 是怎么回事（女，47）
1a1宫颈癌切除9个月后，刚又发现阴道缝合处至少Vain3病变。在美国斯坦福医院刚做了PETCT, 结果如下 Bowel: Focal intense radiotracer uptake along the wall of the distal sigmoid colon in the pelvis (image 211) with an SUV max of 8.9. Questionable small adjacent peritoneal nodularity. No evidence of inflammatory changes. IMPRESSION: 1. Focal uptake along the distal sigmoid colon without a definite CT correlate. This could be related to a focal bowel lesion versus metastatic serosal implant. Consider pelvic MRI versus contrast enhance
1a1宫颈癌切除9个月后，刚又发现阴道缝合处至少Vain3病变。在美国斯坦福医院刚做了PETCT, 结果如下 Bowel: Focal intense radiotracer uptake along the wall of the distal sigmoid colon in the pelvis (image 211) with an SUV max of 8.9. Questionable small adjacent peritoneal nodularity. No evidence of inflammatory changes. IMPRESSION: 1. Focal uptake along the distal sigmoid colon without a definite CT correlate. This could be related to a focal bowel lesion versus metastatic serosal implant. Consider pelvic MRI versus contrast enhance
Otherwise, no evidence of distant metabolically active metastases. Biopsy-proven recurrence is not well seen。
图片因隐私问题无法显示