1a1宫颈癌切除9个月后，刚又发现阴道缝合处至少Vain3病变。 在美国斯坦福医院刚做了PETCT, 结果如下 IMPRESSION: 1. Focal uptake along the distal sigmoid colon without a definite CT correlate. This could be related to a focal bowel lesion versus metastatic serosal implant. Consider pelvic MRI versus contrast enhanced CT to further evaluate. Attention on follow-up. 2. Otherwise, no evidence of distant metabolically active metastases. Biopsy-proven recurrence is not well seen。 问发现的BOWEL LESION 是怎么回事（女，47）1a1宫颈癌切除9个月后，刚又发现阴道缝合处至少Vain3病变。 在美国斯坦福医院刚做了PETCT, 结果如下 Bowel: Focal intense radiotracer uptake along the wall of the distal sigmoid colon in the pelvis (image 211) with an SUV max of 8.9. Questionable small adjacent peritoneal nodularity. No evidence of inflammatory changes. IMPRESSION: 1. Focal uptake along the distal sigmoid colon without a definite CT correlate. This could be related to a focal bowel lesion versus metastatic serosal implant. Consider pelvic MRI versus contrast enhance1a1宫颈癌切除9个月后，刚又发现阴道缝合处至少Vain3病变。 在美国斯坦福医院刚做了PETCT, 结果如下 Bowel: Focal intense radiotracer uptake along the wall of the distal sigmoid colon in the pelvis (image 211) with an SUV max of 8.9. Questionable small adjacent peritoneal nodularity. No evidence of inflammatory changes. IMPRESSION: 1. Focal uptake along the distal sigmoid colon without a definite CT correlate. This could be related to a focal bowel lesion versus metastatic serosal implant. Consider pelvic MRI versus contrast enhanceOtherwise, no evidence of distant metabolically active metastases. Biopsy-proven recurrence is not well seen。

术后复查HPV结果如何，这个就是导致阴道病变的原因，术前阴道壁应该也是有HPV感染，针对阴道病变要治疗，肠道这个问题估计没什么，petCT发现疑似，就像建议的可以做核磁共振增强排除，一般IA1期术后短时候很少有转移，阴道癌前病变可以做激光，明显增生物可以配合手术切除。