查詢結果分析
相關文獻
- Asymptomatic Metastatic Cervical Carcinoma from Primary Breast Carcinoma--A Case Report
- The Effects of Pesticides Chlordane, Dieldrin and Endosulfan on the Growth of Human Breast Cancer Cell Lines MCF-7 and SK-BR-3
- Prognostic Factors in Node-Negative Breast Cancer Patients: The Experience in Taiwan
- Cystic Hypersecretory Intraductal Carcinoma of the Breast--Case Report
- Timing of Shoulder Exercise after Modified Radical Mastectomy: A Prospective Study
- 前哨淋巴掃描診斷乳癌早期轉移
- Measurement of the Quality of Life during Different Clinical Phases of Breast Cancer
- The Prognostic Significance of Pathologic Characteristics of Breast Cancer Patients in Taiwan
- 趨勢面分析法在癌症地圖繪製上的應用: 以臺灣的乳癌死亡率為例
- 使用Tamoxifen治療乳癌
頁籤選單縮合
題名 | Asymptomatic Metastatic Cervical Carcinoma from Primary Breast Carcinoma--A Case Report=原發性乳癌合併無症狀子宮頸轉移 |
---|---|
作者姓名(中文) | 簡淑錦; 陳祈安; 林明杰; 鄭文芳; 謝長堯; | 書刊名 | 臺灣婦產科醫學會會刊雜誌 |
卷期 | 42:4 2003.12[民92.12] |
頁次 | 頁253-257 |
分類號 | 416.226 |
關鍵詞 | 乳癌; 轉移性子宮頸癌; Breast carcinoma; CA-125; Metastatic cervical carcinoma; |
語文 | 英文(English) |
中文摘要 | 目的:子宮頸癌大多為原發性,轉移性的子宮頸癌較為少見。回顧文獻報告較常見骨盆腔外的原發部位為乳房和腸胃道,大多數合併不正常陰道出血症狀,在此我們提出一例原發性乳癌合併無症狀性子宮頸轉移。病例報告:一位45歲雙側乳癌息者,接受修正型乳癌根除手術及淋巴腺切除後,病理報告為浸潤型乳腺癌併多數淋巴腺轉移,術後影像學檢查發現無其他部位轉移,隨即給予化學治療。兩個月後,病人做例行性婦科檢查,發現子宮頸有嚴重糜爛合併接觸性出血,於是施行子宮頸切片,病理檢查為乳癌轉移,同時發現血清中CA-125有升高的跡象,安排腹部與骨盆腔電腦斷層檢查,懷疑有多處骨頭轉移,於是繼續給予輔助性化學治療。結論:高危險群乳癌患者不論有無婦科症狀者,都應定期接受例行性婦科檢查。此外腫瘤指數CA-125的升高,也許可以作為婦科器官轉移的參考。 |
英文摘要 | Objective: Uterine cervical carcinomas are mostly primary, and rare cases come from other genital or extragental organs. The most common metastatic cervical carcinomas from extragenital organs are the breast and gastrointestinal carcinomas. They often present with abnormal uterine bleeding initially. We report an asymptomatic woman with a metastatic cervical carcinoma from breast carcinoma. Case Report(s): A 45 year-old female received bilateral modified radical mastectomy and bilateral axillary lymph node dissection for her breast carcinoma. Pathologic report showed mixed infiltrating ductal and lobular carcinomas of the breasts and bilateral axillary lymph nodes metastases. No other metastatic lesions were found by postoperative image studies. Adjuvant chemotherapy was then given. She visited our clinic for routine gynecologic examinations two months after the surgery. Cervical biopsy was pertormed due to severe cervical erosion and easily touching bleeding. The pathologic examiantion revealed diffuse infiltration of signet-ring neoplastic cells in the cervical stroma, consistent with a metastatic breast carcinoma. Elevated serum CA-125 was also noted. Diffuse bony metastases were suspected from subsequent computerized tomography of the abdomen and pelvis. Conclusion(s): We suggest that breast cancer patients with high risk of metastasis should receive regular gynecologic examination and CA-125 may have the clinical utility for early detection of gynecologic metastatic lesions. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。