一系列卵巢透明细胞癌和子宫内膜样癌及其与子宫内膜异位症的关联。

A series of ovarian clear cell and endometrioid carcinoma and their association with endometriosis.

作者信息

Chew S, Tham K F, Ratnam S S

机构信息

Department of Obstetrics and Gynaecology, National University Hospital, Singapore.

出版信息

Singapore Med J. 1997 Jul;38(7):289-91.

PMID:9339094

Abstract

AIM

To present our department's experience with clear cell carcinoma and endometrioid carcinoma of the ovary, paying particular attention to their relationship with endometriosis and concomitant endometrial pathology.

METHOD

Retrospective review of case records.

RESULTS

From July 1986 to March 1995, 11 patients with clear cell carcinoma and 20 patients with endometrioid carcinoma of the ovary were treated. Of the patients with clear cell carcinoma, five (45%) had associated endometriosis. One patient (9%) also had endometrial adenomatous hyperplasia. Of the 20 cases of ovarian endometrioid carcinoma, four (20%) had endometriosis present during histopathological examination. Six patients (30%) had concomitant endometrial pathology (five cases of endometrial carcinoma and one with adenomatous hyperplasia).

CONCLUSION

Our series shows that the clear cell ovarian carcinoma may often be associated with endometriosis, more so than the endometrioid type of ovarian carcinoma. However, the patient with ovarian endometrioid carcinoma may also harbour a concurrent endometrial pathology.

摘要

目的

介绍我们科室在卵巢透明细胞癌和子宫内膜样癌方面的经验，特别关注它们与子宫内膜异位症及伴随的子宫内膜病变之间的关系。

方法

回顾性查阅病例记录。

结果

1986年7月至1995年3月，共治疗了11例卵巢透明细胞癌患者和20例卵巢子宫内膜样癌患者。在透明细胞癌患者中，5例（45%）伴有子宫内膜异位症。1例（9%）还患有子宫内膜腺瘤样增生。在20例卵巢子宫内膜样癌病例中，4例（20%）在组织病理学检查时存在子宫内膜异位症。6例（30%）伴有子宫内膜病变（5例子宫内膜癌和1例腺瘤样增生）。