皮肌炎诊断后发生的透明细胞卵巢癌：一例病例报告及文献复习
Clear cell ovarian carcinoma following polymyositis diagnosis: a case report and review of the literature.
作者信息
Kalogiannidis I, Papanikolaou A, Xanthakis I, Makedos A, Prapas N
机构信息
4th Department of Obstetrics and Gynecology, Hippokratio Hospital, Aristotles University of Thessaloniki, Greece.
出版信息
Hippokratia. 2008 Jul;12(3):181-5.
BACKGROUND
The association of ovarian malignancy with dermatomyositis (DM) is well established from previous reports, while the relationship with polymyositis (PM) is rare.
CASE REPORT
We report a case of a 50 years old nulliparous woman who developed clear cell ovarian cancer four years after the PM diagnosis. The patient presented with deep lower abdominal pain and distension. CA-125 was elevated and the preoperative MRI showed pelvic tumor occupying the Douglas pouch. Exploratory laparotomy revealed a gross mass of clear cell ovarian carcinoma.
CONCLUSION
Physicians must be alert of the possibility of malignancy in patients with a previous diagnosis of polymyositis.
背景
既往报道已充分证实卵巢恶性肿瘤与皮肌炎（DM）之间存在关联，而与多发性肌炎（PM）的关系则较为罕见。
病例报告
我们报告一例50岁未生育女性，在诊断为PM四年后发生了透明细胞卵巢癌。患者出现下腹部深部疼痛和腹胀。CA-125升高，术前MRI显示盆腔肿瘤占据道格拉斯窝。剖腹探查发现一个肉眼可见的透明细胞卵巢癌肿块。
结论
医生必须警惕既往诊断为多发性肌炎的患者发生恶性肿瘤的可能性。
Zotero 插件