Bălănescu I, Coliţă D, Moicean A, Duţu R, Stănculescu M, Voinea S
Institutul Oncologic Bucureşti.
Chirurgia (Bucur). 1998 Sep-Oct;93(5):331-41.
A 24-year-old-woman was admitted because of disseminated intravascular coagulation (DIC), menometrorrhagia and galactorrhea. The investigations performed showed a right adnexal tumor after the equilibration of DIC with plasma substitution, we performed a right adnexectomy with limited excision of peritoneal. The pathologic examination showed a focus of endometriosis on the right ovary who had a polycystic look and a right adnexal fibromyxoma (premalignant lesion). The post operative evolution was good, with the loss of entire onco-hemato-endocrinologic picture. We describe the interrelation between DIC (paraneoplastic syndrome), menometrorrhagia and galactorrhea, the pathologic hypothesis and the treatment of DIC.
一名24岁女性因弥散性血管内凝血(DIC)、月经过多和溢乳入院。检查显示在通过血浆置换使DIC病情稳定后发现右侧附件区肿瘤,遂行右侧附件切除术并有限切除腹膜。病理检查显示右侧卵巢有一处子宫内膜异位病灶,外观呈多囊样,还有一个右侧附件纤维黏液瘤(癌前病变)。术后恢复良好,所有肿瘤血液内分泌相关症状均消失。我们描述了DIC(副肿瘤综合征)、月经过多和溢乳之间的相互关系、病理推测以及DIC的治疗方法。