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Review Pediatric surgery international. 2025 Jun 16;41(1):172. doi: 10.1007/s00383-025-06081-z Q21.62025

The need for screening recommendations after intestinal vaginal replacement: a systematic review of the literature

肛肠代阴道术后筛查需求的系统评价 翻译改进

Catherine C Dawson-Gore  1  2, Lauren Evans  1  3, Sage Vincent  1, Marie-Teresa Colbert  3  4, Ben Harnke  5, Amber Moyer  2  6, Veronica I Alaniz  2  3  4, Luis De la Torre  1  2  3, Andrea Bischoff  7  8  9

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作者单位

  • 1 Department of Pediatric Surgery, Children's Hospital Colorado, 13123 East 16th Avenue Box 323, Anschutz Medical Campus, Aurora, CO, 80045, USA.
  • 2 University of Colorado School of Medicine, 13001 E 17th Pl, Aurora, CO, 80045, USA.
  • 3 International Center for Colorectal and Urogenital Care, Children's Hospital Colorado, 13123 East 16th Avenue Box 323, Anschutz Medical Campus, Aurora, CO, 80045, USA.
  • 4 Department of Pediatric and Adolescent Gynecology, Children's Hospital Colorado, 13123 E 16th Ave, Anschutz Medical Campus, Aurora, CO, 80045, USA.
  • 5 University of Colorado Strauss Health Sciences Library, 12950 E Montview Blvd, Anschutz Medical Campus, Aurora, CO, 80045, USA.
  • 6 Department of Surgery, University of Colorado School of Medicine, 12631 East 17th Ave, Aurora, CO, 80045, USA.
  • 7 Department of Pediatric Surgery, Children's Hospital Colorado, 13123 East 16th Avenue Box 323, Anschutz Medical Campus, Aurora, CO, 80045, USA. Andrea.Bischoff@childrenscolorado.org.
  • 8 University of Colorado School of Medicine, 13001 E 17th Pl, Aurora, CO, 80045, USA. Andrea.Bischoff@childrenscolorado.org.
  • 9 International Center for Colorectal and Urogenital Care, Children's Hospital Colorado, 13123 East 16th Avenue Box 323, Anschutz Medical Campus, Aurora, CO, 80045, USA. Andrea.Bischoff@childrenscolorado.org.

    • DOI: 10.1007/s00383-025-06081-z PMID: 40522524

    摘要 中英对照阅读

    Purpose: To investigate the occurrence, presentation, management, and treatment of patients found to have a primary colorectal malignancy arising in the intestinal neovagina. Methods: A systematic review of primary research studies describing intestinal malignancy arising in an intestinal neovagina was conducted. Reports of extraintestinal m... ...点击完成人机验证后继续浏览

    目的：调查在肠新阴道中发现的原发性结直肠恶性肿瘤的发生、表现、管理和治疗情况。

    方法：进行了系统回顾，研究描述了在肠新阴道中发生的原发性肠道恶性肿瘤的研究。排除了非肠道恶性肿瘤和二次研究设计的报告。

    结果：35年内共确定了16例病例报道。患者常见的为乙状结肠（n = 11, 69%）新阴道。进行阴道重建的指征包括梅耶-罗基坦斯基-库斯特-豪斯综合征 (MRKH) 综合征(n = 5, 31%)、妇科癌症(n = 3, 19%)、阴道发育不良(n = 5, 31%) 和泄殖腔(n = 3, 19%)。症状开始的时间从重建后7年到53年不等。诊断年龄范围在17岁至53岁之间。出血是最常见的首发症状（n = 12，73%）。50%的患者表现为局部疾病 (n = 8)，31%为局部区域性疾病(n = 5) 和6%为转移性疾病(n = 1)。治疗方法各不相同，大多数患者接受了手术切除。有生存数据的10名患者中，一半出现了疾病复发。很少描述监测计划。

    结论：肠新阴道中的腺癌是一种罕见但可能危及生命的疾病，缺乏常规筛查、管理和随访指南。我们的研究结果强调了这些患者的治疗方案的可变性和疾病的致病性。正在努力制定正式的筛查指南。

    关键词：癌症筛查；结肠癌；肠新阴道；阴道替代。

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    期刊名：Pediatric surgery international

    缩写：PEDIATR SURG INT

    ISSN：0179-0358

    e-ISSN：1437-9813

    IF/分区：1.6/Q2

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    The need for screening recommendations after intestinal vaginal replacement: a systematic review of the literature