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原发性腹膜浆液性砂粒体癌中CA125升高:一例报告并文献复习

Elevated CA125 in primary peritoneal serous psammocarcinoma: a case report and review of the literature.

作者信息

Zhen-Zhong Deng, Zheng Ning, Liu Heng, Liao Dong-Ying, Ye Xiao-Qin, Zhou Qiu-Ming, Li Huai-Hui, Liu Qi, Lu Kang-Min

机构信息

Nanjing University, Medical School, Room 902, Taoyuan 2 Building, Nanjing, 210093, China.

出版信息

BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.10.2008.1063. Epub 2009 May 26.

Abstract

Psammocarcinoma is a rare form of serous carcinoma of the ovary or peritoneum, and it is characterised by extensive psammoma body formation and invasion of surrounding structures. This report describes the case of a 42-year-old woman who presented with large ascites and raised CA125 level. Following a full staging laparotomy, she was made stable in stage IIIC. Despite the limited number of cases reported, the clinical prognosis of carcinomas resembling the serous borderline lesions seems much more favourable than the common serous carcinomas. A summary of all the reported cases is provided to highlight the clinical and prognostic features of this scarce tumour.

摘要

砂粒体癌是卵巢或腹膜浆液性癌的一种罕见形式,其特征是广泛形成砂粒体并侵犯周围结构。本报告描述了一名42岁女性患者,她表现为大量腹水和CA125水平升高。在进行全面分期剖腹手术后,她的病情稳定在IIIC期。尽管报道的病例数量有限,但类似于浆液性交界性病变的癌的临床预后似乎比常见的浆液性癌要好得多。提供了所有报告病例的总结,以突出这种罕见肿瘤的临床和预后特征。

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本文引用的文献

1
Serous psammocarcinoma of the ovary: CT and MR findings.卵巢浆液性砂粒体癌:CT与MR表现
J Comput Assist Tomogr. 2007 May-Jun;31(3):490-2. doi: 10.1097/01.rct.0000243450.48857.3a.
3
Primary peritoneal psammocarcinoma: a case presenting synchronously with bowel carcinoma.
Gynecol Oncol. 2006 Sep;102(3):576-9. doi: 10.1016/j.ygyno.2006.02.040. Epub 2006 Apr 19.
4
Primary psammocarcinoma of the peritoneum.
Int J Gynecol Cancer. 2006 Jan-Feb;16 Suppl 1:129-31. doi: 10.1111/j.1525-1438.2006.00320.x.
5
Serous psammocarcinoma of the ovary: an unusual finding.卵巢浆液性砂粒体癌:一项不寻常的发现。
Gynecol Oncol. 2005 Nov;99(2):510-1. doi: 10.1016/j.ygyno.2005.06.042. Epub 2005 Jul 26.
8
Ovarian psammocarcinoma with peritoneal implants.伴有腹膜种植的卵巢砂粒体癌
Eur J Obstet Gynecol Reprod Biol. 2003 Apr 25;107(2):217-9. doi: 10.1016/s0301-2115(02)00340-8.
9
Psammomacarcinoma of the peritoneum.腹膜沙粒体癌
Eur J Obstet Gynecol Reprod Biol. 2001 Aug;97(2):231-4. doi: 10.1016/s0301-2115(00)00508-x.

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