Cleophax J P, Pujade-Lauraine E
Service de Gynécologie-Obstétrique, Centre Hospitalier Général de Montmorency.
J Gynecol Obstet Biol Reprod (Paris). 1990;19(8):995-8.
The authors present a case history of a patient whose most recent relapse occurred 7 years after the initial laparotomy carried out for bilateral ovarian stage III cystadenocarcinoma diagnosed by biological follow-up (CA 125) which occurred because of isolated splenic metastases which were identified thanks to ultrasound examination. The literature, which has been searched fails to show a clinical description of a case with metastases localised just to this site. We propose an explanation of the mechanism and an analysis of the methods of follow-up that can be carried out showing that it is useful to use CA 125 as a checK on epithelial tumours of the ovary.
作者介绍了一位患者的病史,该患者最初因双侧卵巢III期囊腺癌接受剖腹手术,术后7年因孤立性脾转移复发,这一转移是通过超声检查发现的,而生物随访(CA 125)显示了复发情况。检索到的文献中未发现仅局限于该部位转移病例的临床描述。我们提出了一种机制解释以及对可进行的随访方法的分析,表明使用CA 125来监测卵巢上皮性肿瘤是有用的。