■孤立性纤维性肿瘤是罕见的间充质肿瘤，通常发生在胸膜。子宫颈孤立性纤维瘤并不常见。我们报告了第一例患者，该患者因阴道壁腺癌接受了全子宫切除术，并被发现在子宫颈旁子宫并发孤立性纤维瘤。
一名51岁女性因接触性出血入院。妇科检查发现阴道壁上有3.0×1.0厘米的结节，阴道镜活检显示阴道壁腺癌。在推荐的分期检查之后，患者接受了全子宫切除术,双附件切除术，盆腔淋巴结清扫术,阴道壁切除术.手术期间,在左侧宫颈旁区的肿块中间发现约2×2cm的结节。随后的术后组织病理学检查证实宫颈孤立性纤维瘤伴阴道壁腺癌。患者住院后随访46个月，未观察到复发或远处转移。
■在极少数情况下，孤立性纤维瘤可在宫颈或阴道壁形成大肿块。在手术前和手术中，它们很容易被误诊为良性或恶性宫颈肿瘤。术后病理及免疫组化有助于诊断。大多数孤立性纤维性宫颈肿瘤是良性的，偶尔有低恶性潜能，手术治疗是可行和有效的。
UNASSIGNED: Solitary fibrous tumors are rare mesenchymal tumors that typically occur in the pleura. Solitary fibrous tumors of the uterine cervix are uncommon. We report the first case of a patient who underwent total hysterectomy for vaginal wall adenocarcinoma and was found to have a concurrent solitary fibrous tumor in the paracervical-uterus.
UNASSIGNED: A 51-year-old woman was admitted to our hospital due to contact bleeding. A gynecological examination revealed nodules of 3.0 × 1.0 cm on the vaginal wall, and a colposcopy with biopsy revealed adenocarcinoma of the vaginal wall. After the recommended staging examinations, the patient underwent total hysterectomy, double adnexectomy, pelvic lymph node dissection, and vaginal wall resection. During surgery, a nodule measuring approximately 2 × 2 cm was found in the middle of the mass in the left paracervical region. Subsequent postoperative histopathological examination confirmed an solitary fibrous tumor of the uterine cervix with adenocarcinoma of the vaginal wall. The patient was followed up for 46 months after hospitalization, and no recurrence or distant metastases were observed.
UNASSIGNED: In rare cases, solitary fibrous tumors may form large masses in the cervical or vaginal wall. They can easily be misdiagnosed as benign or malignant cervical tumors before and during surgery. Postoperative pathology and immunohistochemistry are helpful for diagnosis. Most solitary fibrous cervical tumors are benign, occasionally with low malignant potential, and surgical treatment is feasible and effective.
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