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- W4366603712 abstract "Rationale: Copious vaginal discharge is a frequent manifestation of reproductive tract infections. However, when little effect can obtain treated as vaginitis, cervical disease should be highly suspected. Patient concerns: A 41-year-old woman had suffering from abnormally increased vaginal discharge without any other signs of discomfort for the past 4 years. A lot of medical examinations and treatment of vaginosis were administered, resulting in unclear diagnosis and little effect. Diagnoses: Cervical adenocarcinoma. Interventions: Gynecological examination, vaginal microbiome culture, and primary cervical cancer screening were negative, and a positron emission tomography revealed an increased 18 F-fluorodeoxyglucose metabolism in the local cervix. After a thorough description, the patient demanded a hysterectomy and bilateral salpingo-oophorectomy. Outcomes: Histopathological evaluation confirmed adenocarcinoma in situ of the uterine cervix. Lessons: The correct diagnosis of symptomatic patients with increased vaginal discharge is challenging. Human papillomavirus-negative patients presenting profuse watery vaginal discharge with an abnormal signal of cervix lesion on positron emission tomography or magnetic resonance imaging should be alert to cervical adenocarcinoma. Deep-seated cervical biopsy, conization, or even hysterectomy is conducive to early diagnosis, treatment and improvement of prognosis." @default.
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- W4366603712 date "2023-04-21" @default.
- W4366603712 modified "2023-10-14" @default.
- W4366603712 title "Copious vaginal discharge finally diagnosed as cervical adenocarcinoma: A case report" @default.
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- W4366603712 doi "https://doi.org/10.1097/md.0000000000033614" @default.
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