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題 名 | Cervical Metastasis as a Presenting Sign of Primary Adenocarcinoma of the Fallopian Tube=原發性輸卵管癌以子宮頸轉移為臨床表徵--病例報告 |
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作 者 | 蕭鶯玲; 許瑞昌; 周邦新; 張惠媚; | 書刊名 | 中華民國婦產科醫學會會刊雜誌 |
卷 期 | 38:3 1999.09[民88.09] |
頁 次 | 頁107-111 |
分類號 | 417.2815 |
關鍵詞 | 原發性輸卵管癌; 腫瘤指數CA 125; Primary adenocarcinoma of the fallopian tube; CA 125; |
語 文 | 英文(English) |
中文摘要 | 背景:輸卵管癌是極罕見的婦科癌症,其臨床症狀不明顯。我們報告以子宮頸轉移為臨床表徵的一個案例。 病例報告:一位55歲停經後婦女主訴陰道出血約兩個月,經檢查發現子宮頸息肉,切片檢查為腺癌。於是在術前診斷為子宮頸癌的情況下,施行根除性子宮切除,雙側卵巢輸卵管切除及骨盆腔淋巴腺摘除。意外發現為原發性輸卵管腺癌(IIA期)。術後再行六期化學治療,並以腫瘤標幟CA125作監測。經四十個月門診追蹤,目前病人情況穩定並無再發的現象。 結論:輸卵管癌具多樣化的臨床表徵,不易作術前診斷。為作正確診斷,需常考慮到輸卵管癌的可能性。 |
英文摘要 | BACKGROUND: We Present a case of primary adenocarcinoma of the fallopian tube presenting as cervical metastasis. CASE REPORT: A 55-year-old woman was referred to our hospital because of a cervical polyp, which was suggestive of cervical cancer. Cervical biopsy showed adenocarcinoma. She underwent radical hysterectomy, bilateral salpingo-oophorectomy, and bilateral pelvic lymph node dissection with the impression of stage Ib cervical cancer. Primary fallopian tube stage IIA grade 2 adenocarcinoma was found incidentally. Chemotherapy consisting of cisplatin and exdoxan for six cycles followed the operation. Serial measurements of serum CA 125 helped monitor the tumor activity during follow-up. The patient is alive and without evidence of disease 40 months following the initial therapy as confirmed by routine follow-up examinations. CONCLUSION: We stress the variable and nonspecific clinical presentations of tubal malignancies and remind gynecologists to consider their possible occurrence. |
本系統中英文摘要資訊取自各篇刊載內容。