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子宫内膜癌合并盆腔器官脱垂的治疗

Treatment of Endometrial Cancer in Association with Pelvic Organ Prolapse.

作者信息

Vanichtantikul Asama, Tharavichitkul Ekkasit, Chitapanarux Imjai, Chinthakanan Orawee

机构信息

Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

Department of Radiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

出版信息

Case Rep Obstet Gynecol. 2017;2017:1640614. doi: 10.1155/2017/1640614. Epub 2017 Feb 28.

Abstract

. Uterine malignancy coexistent with pelvic organ prolapse (POP) is uncommon and standardized treatment is not established. The objective of this case study was to highlight the management of endometrial cancer in association with pelvic organ prolapse. . An 87-year-old woman presented with POP Stage IV combined with endometrioid adenocarcinoma of the uterus: clinical Stage IV B. She had multiple medical conditions including stroke, deep vein thrombosis, and pulmonary embolism. She was treated with radiotherapy and pessary was placed. . Genital prolapse with abnormal uterine bleeding requires proper evaluation and management. Concurrent adenocarcinoma and POP can be a difficult clinical situation to treat, and optimum management is controversial.

摘要

子宫恶性肿瘤与盆腔器官脱垂(POP)并存并不常见,且尚未确立标准化治疗方案。本病例研究的目的是强调子宫内膜癌合并盆腔器官脱垂的管理。一名87岁女性,表现为IV期盆腔器官脱垂合并子宫子宫内膜样腺癌:临床分期为IV B期。她有多种内科疾病,包括中风、深静脉血栓形成和肺栓塞。她接受了放射治疗并放置了子宫托。伴有异常子宫出血的生殖器脱垂需要适当的评估和管理。同时存在腺癌和盆腔器官脱垂可能是一种难以治疗的临床情况,最佳管理方案存在争议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3b6/5350386/63abde2a6cf2/CRIOG2017-1640614.001.jpg

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