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一名绝经后女性患子宫1级子宫内膜样腺癌伴大网膜转移及卵巢勃勒纳瘤的罕见病例。

A Rare Case of Grade 1 Endometrioid Adenocarcinoma of the Uterus With Omental Metastasis with Brenner Tumor of the Ovary in a Postmenopausal Female.

作者信息

Bagga Rashmi, Pandit Rubina, Saha Pradip Kumar, Kalra Jasvinder, Muthyala Tanuja, Gupta Nalini, Singh Tulika, Rai Bhavna

机构信息

Department of Obstetrics and Gynaecology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Mangalagiri, Andhra Pradesh, India.

出版信息

J Midlife Health. 2020 Jan-Mar;11(1):45-48. doi: 10.4103/jmh.JMH_141_18. Epub 2020 May 4.

Abstract

Early-stage endometrial cancer may have microscopic omental metastases which is associated with a poor prognosis. There are no standard guidelines for omentectomy in early-stage endometrial cancer without risk factors. Brenner tumor is a rare ovarian tumor which is usually benign, but rarely, it may be malignant. Some Brenner tumors are endocrinologically active. Various studies have shown an association of Brenner tumor with endometrial hyperplasia, polyp, or early-stage carcinoma, probably due to its estrogen-secreting nature. We report a rare case of well-differentiated endometrioid adenocarcinoma of the uterus with <50% myometrial invasion with omental metastases associated with benign Brenner tumor of the ovary in a postmenopausal female.

摘要

早期子宫内膜癌可能存在微小的网膜转移,这与预后不良相关。对于无危险因素的早期子宫内膜癌,目前尚无网膜切除术的标准指南。勃勒纳瘤是一种罕见的卵巢肿瘤,通常为良性,但极少数情况下可能为恶性。一些勃勒纳瘤具有内分泌活性。各种研究表明,勃勒纳瘤与子宫内膜增生、息肉或早期癌有关,可能是由于其分泌雌激素的特性。我们报告了一例罕见病例,一名绝经后女性患有子宫高分化子宫内膜样腺癌,肌层浸润<50%,伴有网膜转移,并与卵巢良性勃勒纳瘤相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b800/7362985/b2a927456d43/JMH-11-45-g001.jpg

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本文引用的文献

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Coexisting Brenner Tumor and Endometrial Carcinoma.
J Midlife Health. 2017 Apr-Jun;8(2):89-91. doi: 10.4103/jmh.JMH_3_17.
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Ann Surg Oncol. 2015 Oct;22(11):3695-700. doi: 10.1245/s10434-015-4443-1. Epub 2015 Feb 18.
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