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酷似腹膜结核的腹膜癌病

Peritoneal carcinomatosis mimicking a peritoneal tuberculosis.

作者信息

Jung Eun Young, Hur Yun Jung, Lee Yoon Jung, Han Hyo Sang, Sang Jae Hong, Kim Young Sun

机构信息

Graduate School, Kyung Hee University, Seoul, Korea.

Department of Obstetrics and Gynecology, Kyung Hee University College of Medicine, Seoul, Korea.

出版信息

Obstet Gynecol Sci. 2015 Jan;58(1):69-72. doi: 10.5468/ogs.2015.58.1.69. Epub 2015 Jan 16.

Abstract

Symptoms of a peritoneal progression from ovarian cancer are nonspecific such as abdominal pain, abdominal distention and more. Many imaging studies and serum CA-125 help diagnosis. However, it is difficult to exclude the instances of the diffuse peritoneal diseases that mimic carcinomatosis. The elevated CA-125 level usually correlates with the peritoneal carcimatosis, but it is often found in other peritoneal diseases. Therefore, the pathologic confirmation is necessary because of other mimicking diseases. In our case, CA-125 levels were elevated. Abdominal computed tomography finding was suspected a peritoneal tuberculosis but the pathologic result was the peritoneal carcimatosis, eventually.

摘要

卵巢癌腹膜转移的症状不具有特异性,如腹痛、腹胀等。许多影像学检查和血清CA-125有助于诊断。然而,很难排除类似癌性腹膜炎的弥漫性腹膜疾病。CA-125水平升高通常与腹膜癌性转移相关,但也常见于其他腹膜疾病。因此,由于存在其他类似疾病,病理确诊是必要的。在我们的病例中,CA-125水平升高。腹部计算机断层扫描结果怀疑是腹膜结核,但最终病理结果是腹膜癌性转移。

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