巴氏腺囊腫？非賀杰氏淋巴癌會陰轉移病變－個案報告及文獻回顧

Bartholin's Gland mass-Non-Hodgkin's Lymphoma Metastasize to the Vulva: A Case Report and Literature Review

鄭敏慧(Ming-Huei Cheng) ； 趙灌中(Kuan-Chong Chao) ； 王鵬惠(Peng-Hui Wang)

《中華民國婦癌醫學雜誌》 2006年2期 (2006/10) Pp. 18-20

https://doi.org/10.7010/JGO.200610.0018

摘要

一名87歲婦人因左下會陰部出現疼痛腫塊被送至本院求診，腫塊位置及疾病表現型態與巴氏腺囊腫類似，內診時發現異常組織，經送病理檢查證實為非賀杰氏淋巴癌轉移病變。非賀杰氏淋巴癌會陰轉移並不多見，所以有可能在臨床上誤認為巴氏腺囊腫或化膿。本文即將非賀杰氏淋巴癌會陰轉移病變作一個案報告及文獻回顧，以避免臨床上延誤診斷或不適當的處置。

關鍵字

巴氏腺囊腫 ； 非賀杰氏淋巴癌 ； 會陰

並列摘要

An 87-year-old woman with a 2-cm left vulvar mass was initially treated with antibiotics due to a suspicion of Bartholin's gland abscess. The mass grew rapidly, from 2 cm to 10 cm, within 3 months. Biopsy showed a diffuse large B cell lymphoma. After one cycle (5 days) of treatment with 200 mg endoxan and 60 mg prednisolone, the vulvar mass significantly decreased in size within two days after beginning treatment, and completely resolved seven days later. We concluded that if a vulvar mass is found in an elderly women, the physician should consider the possibility of malignancy, especially metastasis.

並列關鍵字

Bartholin gland mass ； non-Hodgkin's lymphoma ； vulva