摘要
目的探讨输卵管浆液性腺癌并子宫腺肌病的临床特点,降低漏诊率。方法对我院收治的输卵管浆液性腺癌并子宫腺肌病1例的临床资料进行回顾性分析。结果本例因渐进性痛经伴月经量增多8年收入院。入院后完善相关检查,初步诊断为子宫腺肌病,行次全子宫切除术+双侧输卵管切除术+右侧卵巢囊肿剥除术。术后病理报告示输卵管高级别浆液性腺癌并子宫腺肌病,遂再次行双侧卵巢切除术+残端宫颈切除术+大网膜切除术+盆腔淋巴结清扫术,术后予紫杉醇+洛铂方案化疗。随访半年,患者一般状况可。结论输卵管浆液性腺癌并子宫腺肌病临床症状不典型,术中或术后病理学检查有助于降低漏诊率。
Objective To explore the clinical features of serous adenocarcinoma（SA） arising from the fallopian tube with adenomyosis and to reduce the rate of missed diagnosis. Methods The clinical data of one case of SA associated with adenomyosis were retrospectively analyzed. Results The patient was admitted to our hospital because of increased menstrual volume and dysmenorrhea for 8 years. Based on the relevant examinations and inspections after admission,the primary diagnosis of adenomyosis was made and subtotal hysterectomy ＋ bilateral salpingectomy ＋ cystectomy of the right ovarian cyst were performed. According to postoperative pathological findings,the patient was diagnosed as high-grade SA arising from the fallopian tube and adenomyosis,and then underwent bilateral ovariectomy ＋ residual cervical resection ＋ greater omentectomy ＋ pelvic lymph node dissection. The patient was treated with paclitaxel loplatin regimen,and was in good condition at 6-month follow-up. Conclusion Given atypical clinical symptoms of SA arising from the fallopian tube complicated with adenomyosis,intraoperative and postoperative pathological examinations re helpful to reduce the rate of missed diagnosis.
作者
王佩
何茂旭
韩丽丽
付莉
WANG Pei;HE Mao-xu;HAN Li-li;FU Li(Department of Obstetrics and Gynecology,the Second Hospital of Jilin University,Changchun 130041,China)
出处
《临床误诊误治》
2018年第9期4-6,共3页
Clinical Misdiagnosis & Mistherapy
基金
吉林省计生委科研项目(2015Z033)
关键词
原发性输卵管癌
子宫腺肌病
漏诊
Primary fallopian tube carcinoma
Adenomyosis
Missed diagnosis
