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題名 | Ovarian Cancer after Hysterectomy: A Case Report=子宮切除後的卵巢癌:病例報告 |
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作者 | 張維君; 林武周; 蔡鴻德; 徐泰彥; 楊東川; | 書刊名 | 中華民國婦產科醫學會會刊雜誌 |
卷期 | 37:2 1998.06[民87.06] |
頁次 | 頁69-72 |
分類號 | 417.25 |
關鍵詞 | 全子宮切除; 卵巢癌; Hysterectomy; Ovarian cancer; |
語文 | 英文(English) |
中文摘要 | 背景:全子宮切除後留下的卵巢發展成為卵巢癌雖不多見, 但卻提示我們預防 性卵巢切除的角色。 病案報告: 一位 58 歲的婦女因為婦科超音波檢查發現骨盆腫瘤而於 1995 年 2 月 9 日至本院就診。術前超音波發現左側有實質性的 5 × 6 × 7 公分�躅ぞ� 腫瘤,血清 CA-125 值為 399U/ml。病人接受癌症減量和分期手術後,腫瘤組織檢查為卵巢 漿液性腺癌,最後手術病理分期為第壹 A 期。 因為手術中發現腫瘤和左側骨盆側壁緊密沾 連,以及術前高濃度的血清 CA-125 值,所以在和病人解釋後從 1995 年 3 月到 6 月,安 排她接受了 4 次的化學治療。病人忍受和反應良好,追蹤至今並無復發。 結論:本例因早期發現和治療適當,治療結果良好。但卵巢癌一般仍屬預後不良和高死亡率 的癌症。對於因良性疾病接受全子宮切除的婦女,併行預防性的卵巢摘除是術前須權衡的。 |
英文摘要 | Background: Malignancies arising from ovaries that remain after hysterectomy are rarely reported in the literature. Case reports: A 58-year-old woman was referred to our department due to a pelvic mass found using sonography. She had undergone hysterectomy 27 years before due to a benign uterine tumor. Preoperative sonography showed a 5 × 6 × 7 cm �� left complex mass with a solid part in it. She received staging and debuliking operation. The final surgical-pathologic staging was IA. Histology of the removed tumor showed serous cystadenocarcinoma. We gave her four courses of chemotherapy from March through June 1995. She tolerated the treatment well and has had regular follow-up examinations without recurrence for 3 years. Conclusion: Our patient recovered well due to early detection and appropriate treatment. Prophylactic oophorectomy might be considered in women undergoing hysterectomy for benign tumors when preservation of ovaries is not essential. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。