Tokunaga T, Miyazaki K, Okamura H
Department of Obstetrics and Gynecology, Kumamoto National Hospital, Japan.
Curr Opin Obstet Gynecol. 1991 Aug;3(4):574-9.
Tubal carcinoma and serous adenocarcinoma of the ovary are remarkably similar in biologic characteristics and tumor markers, which suggests that the management for tubal carcinoma would be based on that for ovarian carcinoma. The cases with rare histologic features, including endometrioid carcinoma, mixed müllerian tumor, and malignant fibrous histiocytoma have been reported. In the genesis of tubal pregnancy, microscopic evidence of silent inflammation has attracted special interest recently. With the development of sophisticated diagnostic tests and the progress of medical management, it has become possible to treat unruptured tubal pregnancies by pharmacologic approaches, laparoscopy, or transvaginal sonographic control. This review briefly outlines the conspicuous pathologic and etiologic features of neoplasms, ectopic pregnancy, and abnormality of the fallopian tube, and discusses some recent observations regarding these disorders.
输卵管癌和卵巢浆液性腺癌在生物学特征和肿瘤标志物方面极为相似,这表明输卵管癌的治疗方法将基于卵巢癌的治疗方法。已有报道一些具有罕见组织学特征的病例,包括子宫内膜样癌、混合性苗勒管肿瘤和恶性纤维组织细胞瘤。在输卵管妊娠的发生过程中,隐匿性炎症的微观证据最近引起了特别关注。随着精密诊断测试的发展和医疗管理的进步,通过药物治疗、腹腔镜检查或经阴道超声控制来治疗未破裂的输卵管妊娠已成为可能。本综述简要概述了输卵管肿瘤、异位妊娠和输卵管异常的显著病理和病因特征,并讨论了有关这些疾病的一些最新观察结果。