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題 名 | Accidentally Delayed Diagnosis of Ruptured Ovarian Carcinoma in a Young Woman: A Care Report=偶發延遲診斷年輕婦女的卵巢癌破裂:一病例報告 |
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作 者 | 王鵬惠; 趙灌中; 顏明賢; 吳香達; | 書刊名 | 中華醫學雜誌 |
卷 期 | 62:10 1999.10[民88.10] |
頁 次 | 頁728-732 |
分類號 | 417.25 |
關鍵詞 | 急性腹痛; 卵巢囊腫破裂; 年輕婦女; Acute abdomen; Ruptured ovarian carcinoma; Young woman; |
語 文 | 英文(English) |
中文摘要 | 卵巢惡性腫瘤大多發生在停經後的婦女,而且其進展非常緩慢,甚少案例會出現 急性腹痛的徵兆。在此我們描述1位24歲的年輕未婚婦女,其患有黏液性卵巢上皮癌,卻 以卵巢囊腫破裂併發腹腔內出血及急性腹痛為起始的臨床表徵,在地區醫院接受緊急剖腹探 查及手術治療。由於臨床上沒考慮到惡性腫瘤的可能性,單以臨床表現為考量,故只作單邊 卵巢及輸卵管切除,且術後恢復良好,未等病理報告結果便逕行出院。直到1個月後,病人 回院作術後追蹤,才發現是黏液性卵巢上皮癌。緊急腹部超音波追蹤檢查發現,同側位置又 有新的腫瘤發生,於是病人轉至本院治療。經過再次剖腹探查發現,腫瘤已瀰漫整個腹腔, 且無法完全切除。此案例提示我們,雖然年輕婦女卵巢囊腫破裂惡性的機會微乎其微,但也 不能完全排除。唯有術前仔細評估、小心手術處理、術後立即查詢病理報告及嚴謹追蹤,才 能避免同樣的事件再次發生。另外,本文還討論此類意外發現之惡性腫瘤的處理方法及其預 後,以提供進一步的參考。 |
英文摘要 | Ovarian carcinoma commonly occurs in postmenopausal women and often presents with an insidious course. Acute abdomen is rarely and initail symptom. When these patients present with adbominal discomfort, the disease has already spread throughout the peritioneal cavity. We present a case of mucinous cystadenocarcinoma in a young woman who presented with acute abdomen and intra-abdominal bleeding. This 24-year-old woman was previously diagnosed with a ruptured left ovarian cystic tumor at a primary clinc. She underwent emergency exploratory laparotomy, followed by unilateral salpingo-oophorectomy at the clinic. No thorough examination of the peritoneal cavity was dnoe during surgery. The diagnosis of mucinous cystadenocarcinoma was accidentally over- looked unitl one month later when she returned for routine follow-up. Upon referral to our clinic, the patient underwent a repeat laparotomy. The surgicopathologic diagnosis was intraperitoneal carcinomatosis stage IIIC that could not be excised completely, even though rigorous staging surgery including washing cytology, total abdominal hysterectomy, salpingo-oophorectomy, retroperitoneal lymphadenectomy, appendectomy, infracolic omentectomy and excision of any suspicious and removable lesions were performed. This acse alerts us to consider the possibility of ovarian malignancy when a young woman presents with an acute abdomen secondary to ruptured ovarian cystic tumor and intraperitoneal hemorrhage. Careful preoperative preparation and thorough intrasurgical examination of the peritoneal cavity along with a prompt pathologic diagnosis of suspicious lesions will prevent missed diagnoses. es. |
本系統中英文摘要資訊取自各篇刊載內容。