腹主动脉旁淋巴结子宫内膜异位症伪装恶性肿瘤：罕见发生。
Endometriosis of para-aortic node masquerading a malignancy: a rare occurrence.
机构信息
Obstetrics and Gynecology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamilnadu, India
Department of Surgical Oncology, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India.
出版信息
BMJ Case Rep. 2021 Jul 2;14(7):e240750. doi: 10.1136/bcr-2020-240750.
Abstract
Endometriosis is a benign estrogen-dependent disorder affecting women in their reproductive age group. Endometriosis means 'abnormal growth of endometrial glands' outside the uterus. Multiple theories on aetiopathogenesis of endometriosis have been postulated, Halban's theory on 'Benign Metastasis' which proposed the presence of endometriotic cells in lymphatic vessels and lymph nodes provides the basis of this case report. Here, we report a case of 26-year-old nulliparous woman who presented with grossly elevated CA 125 with endometriosis in her para-aortic nodes mimicking as ovarian cancer.
摘要
子宫内膜异位症是一种良性雌激素依赖性疾病，影响生育期妇女。子宫内膜异位症是指“子宫内膜腺体在子宫外的异常生长”。已经提出了多种关于子宫内膜异位症发病机制的理论，Halban 的“良性转移”理论提出了在淋巴管和淋巴结中存在子宫内膜异位细胞，为这个病例报告提供了基础。在这里，我们报告了一例 26 岁的未产妇，她因卵巢癌的表现为在其主动脉旁淋巴结中存在子宫内膜异位症而导致 CA125 显著升高。
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