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GATA2 缺陷导致的外阴癌,一种罕见的遗传性免疫缺陷综合征。

Vulvar Cancer as a Result of GATA2 Deficiency, a Rare Genetic Immunodeficiency Syndrome.

机构信息

Department of Obstetrics & Gynecology and the Division of Gynecologic Oncology, University of Alabama at Birmingham, Birmingham, Alabama.

出版信息

Obstet Gynecol. 2018 Nov;132(5):1112-1115. doi: 10.1097/AOG.0000000000002905.

Abstract

BACKGROUND

Vulvar cancer has become more prevalent, and its causes include chronic dermatoses and human papillomavirus (HPV)-mediated disease. Younger immunocompromised women can also be affected. We describe a case of vulvar carcinoma as a result of GATA2 deficiency.

CASE

A 19-year-old woman presented to our gynecologic oncology clinic for management of a large vulvar mass. She was diagnosed with stage IB vulvar carcinoma after vulvectomy. GATA2 deficiency was the contributing factor causing vulvar carcinoma.

CONCLUSION

GATA2 deficiency causes immunodeficiency in young women, and patients with early-onset HPV-related disease, a family or personal history of leukemia, recurrent infection, or immune irregularities should be screened. Health care providers for these women are often obstetrician-gynecologists, who can provide diagnosis, treatment, referral, and prevention of HPV-related diseases.

摘要

背景

外阴癌的发病率逐渐增高,其病因包括慢性皮肤病和人乳头瘤病毒(HPV)介导的疾病。免疫功能低下的年轻女性也可能受到影响。我们描述了一例 GATA2 缺陷导致的外阴癌病例。

病例

一名 19 岁女性因大的外阴肿块到妇科肿瘤门诊就诊。外阴切除术诊断为 IB 期外阴癌。GATA2 缺陷是导致外阴癌的致病因素。

结论

GATA2 缺陷导致年轻女性免疫功能缺陷,有早发 HPV 相关疾病、白血病家族史或个人史、反复感染或免疫异常的患者应进行筛查。这些女性的医疗保健提供者通常是妇产科医生,他们可以提供 HPV 相关疾病的诊断、治疗、转诊和预防。

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