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输卵管乳头状囊性腺纤维瘤:病例报告并文献复习。

Papillary Cystadenofibroma of Fallopian Tube: Case Report with a Literature Review.

机构信息

Clinic of General and Abdominal Surgery, Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina.

出版信息

Med Arch. 2020 Feb;74(1):73-76. doi: 10.5455/medarh.2020.74.73-76.

Abstract

INTRODUCTION

Tumors of Fallopian tubes are rare in general, and they are the rarest tumors of female genital tract. According to clasification of World health organisation (WHO), papillomas, cystadenoma, adenofibroma, cystadenofibroma (CAF), metaplastic papillary tumors and endometrioid polyps belong to group of benign tumors. Serous papillary cystadenofibroma (SPCAF) is rare tumor and it is ususally located on fimbrial end of the tube and it is considered that it has "Müllerian" origin.

AIM

The aim of this article is to show a rare case of cystadenofibroma of Fallopian tube which was found as random sample during histopathological analysis of specimen which was extracted during laparatomy due to the large tumor mass in abdomen.

CASE REPORT

A 43-year-old patient underwent surgery for a large tumor mass in the abdomen, unknown lesions and pathohistology, which was radiologically verified four years before hospitalization. We removed the specimen that made up the tumor, along with the uterus and adnexes, weighing 14 kg and sent for histopatology. A large tumor mass is made up of a giant uterine myoma, and in the analysis of the other preparation, in addition to endometrial adenocarcinoma, there is also a rare Fallopian tube cystadenofibroma. On the sixth day of hospitalization, the patient is discharged home. At control after three months, the patient was without problems, with ongoing adjuvant brachytherapy.

CONCLUSION

Improvement of prevention measures and work on the continuing education of patients and physicians at the primary care level are needed to ensure that patients receive the best treatment in a timely manner. Cystadenofibroma is a rare tumor in general and gynecologic oncology, and as authors it is a great honor for us to contribute to the world literature and to present the twentieth case of this tumor.

摘要

介绍

输卵管肿瘤一般较为罕见,是女性生殖道中最罕见的肿瘤之一。根据世界卫生组织(WHO)的分类,乳头状瘤、囊腺瘤、腺纤维瘤、囊腺纤维瘤(CAF)、间变乳头状肿瘤和子宫内膜样息肉属于良性肿瘤。浆液性乳头状囊腺纤维瘤(SPCAF)是一种罕见的肿瘤,通常位于输卵管的伞端,被认为具有“米勒管”起源。

目的

本文旨在展示一例罕见的输卵管囊腺纤维瘤病例,该病例是在剖腹手术中对腹部大肿瘤、未知病变和病理组织学进行分析时作为随机样本发现的。

病例报告

一名 43 岁患者因腹部大肿瘤、未知病变和影像学证实的病变四年前行手术治疗。我们切除了构成肿瘤的标本,包括子宫和附件,重达 14 公斤,并送组织病理学检查。一个大的肿瘤块由一个巨大的子宫肌瘤组成,在对另一个标本的分析中,除了子宫内膜腺癌外,还有一种罕见的输卵管囊腺纤维瘤。患者在住院第六天出院回家。在三个月后的随访中,患者无问题,正在进行辅助近距离放射治疗。

结论

需要改善预防措施,并对初级保健水平的患者和医生进行继续教育,以确保患者及时得到最佳治疗。囊腺纤维瘤一般较为罕见,在妇科肿瘤学中也较为罕见。作为作者,我们很荣幸为世界文献做出贡献,并展示该肿瘤的第二十个病例。

相似文献

9
Early invasive adenocarcinoma of the fallopian tube: a case report and review of the literature.
J Obstet Gynaecol Res. 1998 Feb;24(1):27-31. doi: 10.1111/j.1447-0756.1998.tb00048.x.

本文引用的文献

1
Management of a giant uterine leiomyoma.巨大子宫平滑肌瘤的管理
BMJ Case Rep. 2018 Sep 4;2018:bcr-2017-224052. doi: 10.1136/bcr-2017-224052.
8
Bilateral papillary adenofibroma of the fallopian tube.
Am J Clin Pathol. 1981 Feb;75(2):229-31. doi: 10.1093/ajcp/75.2.229.
10
Intramural adenofibroma of the fallopian tube. Light and electron microscopy.
Cancer. 1973 Jun;31(6):1433-9. doi: 10.1002/1097-0142(197306)31:6<1433::aid-cncr2820310619>3.0.co;2-v.

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