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An extremely rare elderly case of proximal epithelioid sarcoma of the vulva: case report with a review of literatures

Obstetrics & Gynecology Science 2020년 63권 5호 p.670 ~ 674
전시은, 이지나, 정희정, 김법종, 유상영, 박상일, 설혜실, 장원일, 김문홍,
소속 상세정보
전시은 ( Jeon Si-Eun ) - Korea Institute of Radiological and Medical Sciences Department of Obstetrics and Gynecology
이지나 ( Lee Ji-Na ) - Korea Institute of Radiological and Medical Sciences Department of Obstetrics and Gynecology
정희정 ( Jung Hee-Jung ) - Korea Institute of Radiological and Medical Sciences Department of Obstetrics and Gynecology
김법종 ( Kim Beob-Jong ) - Korea Institute of Radiological and Medical Sciences Department of Obstetrics and Gynecology
유상영 ( Ryu Sang-Young ) - Korea Institute of Radiological and Medical Sciences Department of Obstetrics and Gynecology
박상일 ( Park Sang-Il ) - Dongnam Institute of Radiological and Medical Sciences Department of Obstetrics and Gynecology
설혜실 ( Seol Hye-Sil ) - Korea Institute of Radiological and Medical Sciences Department of Pathology
장원일 ( Jang Won-Il ) - Korea Institute of Radiological and Medical Sciences Department of Radiation Oncology
김문홍 ( Kim Moon-Hong ) - Korea Institute of Radiological and Medical Sciences Department of Obstetrics and Gynecology

Abstract


We experienced an extremely rare case of proximal epithelioid sarcoma (PES) of the vulva in a 77-year-old woman. After history taking and physical examination, the patient was tentatively diagnosed as having Bartholin’s cyst in the right labium. Based on histopathological and immunohistochemical (IHC) findings, however, a final diagnosis of PES of the vulva was made. After receiving CyberKnife treatment, the patient survived but with recurrent episodes and poor prognosis. In conclusion, our case indicates that patients with PES of the vulva should be appropriately managed with radiotherapy after a differential diagnosis based on histopathological and IHC findings.

키워드

Vulva; Vulvar neoplasms; Sarcoma; Immunohistochemistry; Diagnosis, differential

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