Kinoshita M, Asano S, Yamashita M, Matsuda T
Department of Obstetrics and Gynecology, Toyo-oka Public Hospital, Hyogo, Japan.
Gynecol Oncol. 1989 Mar;32(3):331-5. doi: 10.1016/0090-8258(89)90635-5.
Mullerian mixed tumors, as a group, are uncommon. Only 27 cases of this tumor of the fallopian tube have been reported to date. We report the 28th case of mixed mesodermal tumor, originating in the fallopian tube. A 79-year-old woman had mistaken a bloody vaginal discharge for hematuria. Various examinations showed no evidence of malignancy. However, computerized tomography revealed an intrapelvic tumor. Laparotomy was performed, with a suspicion of tubal malignancy. The final pathologic diagnosis was mixed mesodermal tumor, originating in the fallopian tube. Postoperatively, the patient was placed on oral adjuvant chemotherapy for 34 months. At present, she is doing well. Though no definite conclusions regarding the best method of therapy can be reached, an aggressive mode of therapy is recommended. The primary therapy is surgery; however, surgery followed by chemotherapy may have a potential benefit.
苗勒氏混合瘤总体来说并不常见。迄今为止，仅报道过27例发生于输卵管的该类肿瘤。我们报告第28例起源于输卵管的混合性中胚层肿瘤。一名79岁女性曾将血性阴道分泌物误认为血尿。各项检查均未发现恶性肿瘤迹象。然而，计算机断层扫描显示盆腔内有一个肿瘤。因怀疑输卵管恶性肿瘤而进行了剖腹手术。最终病理诊断为起源于输卵管的混合性中胚层肿瘤。术后，患者接受了34个月的口服辅助化疗。目前，她情况良好。尽管对于最佳治疗方法无法得出明确结论，但建议采取积极的治疗方式。主要治疗方法是手术；然而，手术加化疗可能有潜在益处。
