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剖宫产术中偶然发现无症状 Krukenberg 瘤:采用腹腔内热化疗进行治疗。

Discovery of asymptomatic Krukenberg tumors diagnosed during caesarean section: therapy with hyperthermic intraperitoneal chemotherapy.

机构信息

Department of Internal Medicine, Wuppertal Primary Health Care and Research Center, Wuppertal, Germany.

出版信息

Postgrad Med. 2013 Jul;125(4):87-90. doi: 10.3810/pgm.2013.07.2681.

Abstract

We report a case of the discovery of asymptomatic Krukenberg tumors in a 37-year-old woman in the 37th week of pregnancy during caesarean section. Subsequent gastroscopy revealed an adenocarcinoma of the stomach as the primary tumor site. The patient was treated with hyperthermic intraperitoneal chemotherapy (HIPEC). Tumor surgery (Partial parietal peritonectomy and partial gastrectomy) and HIPEC treatment were successful, with no complications found during follow-up. Use of HIPEC seems to be a promising option after radical surgery, including its use in patients with gastric tumors that are in advanced stages, and use in patients who have tumors with poor prognoses, such as Krukenberg tumors.

摘要

我们报告了一例 37 岁女性在剖宫产时于 37 周妊娠时发现无症状的 Krukenberg 肿瘤。随后的胃镜检查显示胃腺癌为原发肿瘤部位。患者接受了腹腔内热灌注化疗(HIPEC)治疗。肿瘤手术(部分壁层腹膜切除术和部分胃切除术)和 HIPEC 治疗均成功,随访期间未发现并发症。根治性手术后使用 HIPEC 似乎是一种有前途的选择,包括在晚期胃肿瘤患者中使用,以及在预后不良的肿瘤患者中使用,如 Krukenberg 肿瘤。

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