恶性胸壁子宫内膜异位症：一例报告及文献综述
Malignant chest wall endometriosis: a case report and literature review.
作者信息
Agrawal Anita, Nation Jill, Ghatage Prafull, Chu Pamela, Ross Sue, Magliocco Anthony
机构信息
Department of Obstetrics and Gynaecology, Division of Gynaecologic Oncology, University of Calgary, Calgary AB.
Department of Obstetrics and Gynaecology, University of Calgary, Calgary AB.
出版信息
J Obstet Gynaecol Can. 2009 Jun;31(6):538-541. doi: 10.1016/S1701-2163(16)34217-7.
BACKGROUND
Endometriosis usually affects women in their reproductive years. Most commonly, the pelvic organs are involved. Involvement of the chest wall after hysterectomy is rare. The incidence of malignant transformation is less than 1% for ovarian endometriosis, but is unknown for extraovarian endometriosis.
CASE
A 47-year-old woman who had undergone hysterectomy and bilateral salpingo-oophorectomy for endometriosis presented four years after surgery with a well-differentiated endometrioid adenocarcinoma arising in the background of endometriosis in the right chest wall. The tumour was resected, and the patient received six courses of adjuvant chemotherapy.
CONCLUSION
Women with endometriosis-associated cancer require individualized management options, depending upon the histopathology and stage of the cancer.
背景
子宫内膜异位症通常影响处于生育年龄的女性。最常见的是盆腔器官受累。子宫切除术后胸壁受累罕见。卵巢子宫内膜异位症的恶变率低于1%，但卵巢外子宫内膜异位症的恶变率尚不清楚。
病例
一名47岁女性因子宫内膜异位症接受了子宫切除术和双侧输卵管卵巢切除术，术后四年出现右胸壁子宫内膜异位症背景下的高分化子宫内膜样腺癌。肿瘤被切除，患者接受了六个疗程的辅助化疗。
结论
患有子宫内膜异位症相关癌症的女性需要根据癌症的组织病理学和分期进行个体化的治疗方案。
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