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卵巢癌肉瘤酷似复发性憩室炎症状:一例报告

Ovarian Carcinosarcoma Mimicking Symptoms of Recurrent Diverticulitis: A Case Report.

作者信息

Phyu Riley, Patrizio Harrison A, Schachter Todd

机构信息

Department of Clinical Education and Assessment Center, Rowan-Virtua School of Osteopathic Medicine, Stratford, USA.

Department of Family Medicine, Rowan-Virtua School of Osteopathic Medicine, Stratford, USA.

出版信息

Cureus. 2024 Apr 10;16(4):e57948. doi: 10.7759/cureus.57948. eCollection 2024 Apr.

DOI:10.7759/cureus.57948
PMID:38738152
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11082829/
Abstract

Ovarian carcinosarcoma, also known as malignant mixed müllerian tumor, is a rare and highly aggressive form of ovarian cancer. This report discusses a case where initial misdiagnosis underscored the complexity of diagnosing this condition. The findings highlight the critical nature of considering ovarian malignancies in the differential diagnosis for postmenopausal women presenting with abdominal pain and altered bowel habits. The significance of utilizing advanced imaging techniques and tumor markers in the early detection of ovarian carcinosarcoma is emphasized, demonstrating how such strategies can substantially affect patient management and outcomes. This case also illustrates the effectiveness of a multidisciplinary approach in treating this challenging malignancy, contributing to our understanding and management of ovarian carcinosarcoma.

摘要

卵巢癌肉瘤,也称为恶性混合苗勒氏瘤,是一种罕见且侵袭性很强的卵巢癌形式。本报告讨论了一例初始误诊凸显该病诊断复杂性的病例。研究结果强调了在对出现腹痛和排便习惯改变的绝经后女性进行鉴别诊断时考虑卵巢恶性肿瘤的重要性。强调了在卵巢癌肉瘤早期检测中使用先进成像技术和肿瘤标志物的意义,展示了这些策略如何能极大地影响患者管理和治疗结果。该病例还说明了多学科方法在治疗这种具有挑战性的恶性肿瘤方面的有效性,有助于我们对卵巢癌肉瘤的理解和管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecde/11082829/535bf6112b8b/cureus-0016-00000057948-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecde/11082829/6da973ccba6a/cureus-0016-00000057948-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecde/11082829/9b73d863f166/cureus-0016-00000057948-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecde/11082829/59815752eef0/cureus-0016-00000057948-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecde/11082829/535bf6112b8b/cureus-0016-00000057948-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecde/11082829/6da973ccba6a/cureus-0016-00000057948-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecde/11082829/9b73d863f166/cureus-0016-00000057948-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecde/11082829/59815752eef0/cureus-0016-00000057948-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ecde/11082829/535bf6112b8b/cureus-0016-00000057948-i04.jpg

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本文引用的文献

1
Primary ovarian malignant mixed Müllerian tumor: a rare case report.原发性卵巢恶性苗勒管混合瘤:1例罕见病例报告
Ther Adv Rare Dis. 2022 Jul 12;3:26330040221107389. doi: 10.1177/26330040221107389. eCollection 2022 Jan-Dec.
2
Ovarian carcinosarcoma is a distinct form of ovarian cancer with poorer survival compared to tubo-ovarian high-grade serous carcinoma.卵巢癌肉瘤是一种独特的卵巢癌形式,与输卵管-卵巢高级别浆液性癌相比,其生存率较差。
Br J Cancer. 2022 Oct;127(6):1034-1042. doi: 10.1038/s41416-022-01874-8. Epub 2022 Jun 17.
3
Factors impacting the time to ovarian cancer diagnosis based on classic symptom presentation in the United States.
基于美国经典症状表现的卵巢癌诊断时间的影响因素。
Cancer. 2021 Nov 15;127(22):4151-4160. doi: 10.1002/cncr.33829. Epub 2021 Aug 4.
4
The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines.SCARE 2020 指南:更新共识手术病例报告(SCARE)指南。
Int J Surg. 2020 Dec;84:226-230. doi: 10.1016/j.ijsu.2020.10.034. Epub 2020 Nov 9.
5
Ovarian cancer statistics, 2018.卵巢癌统计数据,2018 年。
CA Cancer J Clin. 2018 Jul;68(4):284-296. doi: 10.3322/caac.21456. Epub 2018 May 29.
6
Ovarian carcinosarcoma: a case report, diagnosis, treatment and literature review.卵巢癌肉瘤:一例报告、诊断、治疗及文献综述
Hippokratia. 2015 Jul-Sep;19(3):256-9.
7
Ovarian sarcoma carries a poorer prognosis than ovarian epithelial cancer throughout all FIGO stages: a single-center case-control matched study.卵巢肉瘤在所有 FIGO 分期的预后均比卵巢上皮癌差:一项单中心病例对照匹配研究。
Anticancer Res. 2014 Dec;34(12):7303-8.
8
Chemotherapy and/or radiotherapy in combination with surgery for ovarian carcinosarcoma.卵巢癌肉瘤的化疗和/或放疗联合手术治疗
Cochrane Database Syst Rev. 2013 Feb 28;2013(2):CD006246. doi: 10.1002/14651858.CD006246.pub2.