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[同步原发性子宫内膜癌和输卵管癌:一例报告]

[Synchronous primary endometrial and fallopian tube cancers: one case report].

作者信息

Wang Huan, Xiao Song-shu, Zeng Fei

机构信息

Department of Gynecology and Obstetrics, Central South University, Changsha, China.

出版信息

Nan Fang Yi Ke Da Xue Xue Bao. 2011 Dec;31(12):2093-4.

Abstract

A patient was admitted for menopause for 2 years and abnormal vaginal bleeding and abdominal pain for 2 months. Gynecological examination revealed uterine atrophy without abnormal findings in the bilateral adnexa. CA125 and CEA levels were normal. The patient underwent laparoscopically assisted vaginal hysterectomy with bilateral salpingo-oophorectomy. Pathological examination of the surgical specimens revealed synchronous primary cancers stage Ia in both the endometrium and the right fallopian tube. The patient then received 6 cycles of chemotherapy with oxaliplatin combined with docetaxel given intravenously and remained alive without evidence of recurrence. Synchronous primary endometrial and fallopian tube cancer is a rare clinical entity, and laparoscopic surgery with postoperative chemotherapy can be considered for stage I patients.

摘要

一名患者因绝经2年、阴道异常出血和腹痛2个月入院。妇科检查显示子宫萎缩,双侧附件无异常发现。CA125和CEA水平正常。患者接受了腹腔镜辅助阴式子宫切除术及双侧输卵管卵巢切除术。手术标本的病理检查显示子宫内膜和右侧输卵管均为同步原发性Ia期癌症。该患者随后接受了6个周期的奥沙利铂联合多西他赛静脉化疗,目前仍存活,无复发迹象。同步原发性子宫内膜和输卵管癌是一种罕见的临床实体,对于I期患者可考虑行腹腔镜手术及术后化疗。

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