Yeung H H, Bannatyne P, Russell P
Pathology. 1983 Jul;15(3):279-86. doi: 10.3109/00313028309083506.
Eight cases of clinically evident adenocarcinoma of fallopian tubes were encountered in King George V Memorial Hospital between Jan. 1950 and Dec. 1981. The tumours occurred predominantly in postmenopausal women and usually presented with vaginal bleeding and/or abdominal pain. A pelvic mass was invariably present. The tubal carcinomas were associated with peritoneal endosalpingiosis, ovarian serous neoplasms and epithelial lesions of the breast. Tumour spread was mainly by invasion of the tubal wall with direct involvement of adjacent organs and subsequent transcelomic dissemination. Prognostic factors are discussed. One patient presented with cerebellar disturbance which was considered to be a paraneoplastic syndrome. We believe this to be the first case of such a syndrome in association with tubal carcinoma and the case history is presented in detail.
1950年1月至1981年12月期间,乔治五世国王纪念医院共收治了8例临床确诊的输卵管腺癌患者。这些肿瘤主要发生在绝经后女性中,通常表现为阴道出血和/或腹痛。盆腔肿块总是存在。输卵管癌与腹膜输卵管内膜异位症、卵巢浆液性肿瘤和乳腺上皮病变有关。肿瘤扩散主要通过输卵管壁浸润,直接累及相邻器官,随后经腹腔播散。文中讨论了预后因素。有一名患者出现小脑功能障碍,被认为是一种副肿瘤综合征。我们认为这是首例与输卵管癌相关的此类综合征,并详细介绍了该病例的病史。