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子宫颈癌中输卵管转移癌的形态学

Morphology of metastatic cancer of the fallopian tube in uterine cervix carcinoma.

作者信息

Anbrokh G B

出版信息

Neoplasma. 1975;22(1):73-9.

PMID:1153039
Abstract

Morphological examination of 452 Fallopian tubes removed together with the uterus for uterine cervix cancer revealed in 221 patients at the time of operation and in 5 dead on autopsy, metastatic cancer in 8 females (3.5%) in 12 tubes (right-side involvement 2 cases, left-side 2 cases, ambi-lateral 4 instances). In 37 patients there were metastases in inner organs; of these diseased 21.6% were affected by metastatic cancer of the Fallopian tube. Macroscopically, metastatic tumors were of different form in 4 cases; in the remaining instances they were only discovered on microscopical examination. In two cases the tubes were affected in their whole length, in the other case the tumor was located in the ampullary portion. The cyto- and histological structures of the metastatic cancer were the same as those of the primary uterine cervix tumor. The predominating route of tumor dissemination has proved to be lymphogenic propagation (5 cases). In two cases lymphohematogenic dissemination, in one case propagation by implantation were observed.

摘要

对452例因宫颈癌而与子宫一并切除的输卵管进行形态学检查发现,在221例手术时以及5例尸检死亡病例中,8名女性(3.5%)的12条输卵管(右侧受累2例,左侧2例,双侧4例)出现转移性癌。37例患者存在内脏转移;其中21.6%的患者受输卵管转移性癌影响。宏观上,4例转移性肿瘤形态各异;其余病例仅在显微镜检查时发现。2例输卵管全长受累,另1例肿瘤位于壶腹部。转移性癌的细胞和组织学结构与原发性宫颈癌相同。肿瘤扩散的主要途径已证实为淋巴源性传播(5例)。观察到2例为淋巴血行性传播,1例为种植性传播。

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