Department of Obstetrics and Gynecology, Sint Maarten Ziekenhuis, Campus Rooienberg, Duffel, Belgium. inge.dierickx @h otmail.be
Gynecol Obstet Invest. 2010;70(3):186-91. doi: 10.1159/000316268. Epub 2010 Jun 16.
A 50-year-old female complained of a painless abdominal distension. Histopathologic examination after cystectomy showed a primary poorly differentiated retroperitoneal mucinous cystadenocarcinoma with a sarcoma-like mural nodule. The patient subsequently underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy, appendectomy, omentectomy and lymphadenectomy. Adjuvant chemotherapy consisted of 6 times carboplatin (AUC 7) in monotherapy (every 4 weeks). Based on 49 cases of primary retroperitoneal mucinous cystadenocarcinoma, we discuss the histogenesis and we define the appropriate treatment.
一位 50 岁女性主诉无痛性腹胀。囊壁切除后的组织病理学检查显示为原发性低分化腹膜后黏液性囊腺癌，伴有肉瘤样壁结节。随后患者行全子宫切除术、双侧附件切除术、阑尾切除术、网膜切除术和淋巴结清扫术。辅助化疗采用卡铂单药治疗 6 次（AUC7）（每 4 周 1 次）。基于 49 例原发性腹膜后黏液性囊腺癌，我们讨论了其组织发生，并确定了适当的治疗方法。
