首页|卵巢及子宫双原发子宫内膜样癌1例并文献复习

卵巢及子宫双原发子宫内膜样癌1例并文献复习

A case of dual primary endometrioid carcinoma of the ovary and uterus and literature review

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目的 分析探讨卵巢及子宫双原发子宫内膜样癌的临床病理特点,并复习文献,以期提高对该类疾病的认识和诊断.方法 本文回顾厦门大学附属第一医院杏林分院收治的1例卵巢及子宫双原发子宫内膜样癌进行临床病理分析,并复习相关文献,总结目前国内外诊断及治疗的最新进展.结果 该病例经组织病理学及免疫组织化学标记结果确诊,卵巢及子宫见子宫内膜样癌特征性病理形态.免疫组织化学结果显示雌激素受体、孕激素受体、波形蛋白、Pax核转录因子家族成员Pax8均表达阳性,P53、P16、天冬氨酸蛋白酶A表达阴性.结论 该类疾病临床表现及影像学表现具有特异性,常合并子宫内膜异位症,主要治疗方法为全面分期手术,预后较好.
Objective To analyze and explore the clinical and pathological characteristics of primary endometrial carcinoma of the ovary and uterus,and review the literature in order to improve the understanding and diagnosis of this type of disease.Methods This article reviews a case of double primary endometrioid carcinoma of the ovary and uterus treated at the Xinglin Branch of the First Affiliated Hospital of Xiamen University for clinical and pathological analysis,and reviews relevant literature to summarize the latest progress in diagnosis and treatment at home and abroad.Results The case was confirmed by histopathological and immunohistochemical staining results.Endometrioid carcinoma with characteristic pathological morphology is observed in the ovaries and uterus.The immunohistochemical results showed that ER,PR,Vim,and PAX8 were all expressed positively,while P53,P16,and NapsinA were expressed negatively.Conclusion The clinical and imaging manifestations of this type of disease are specific,often accompanied by endometriosis.The main treatment method is comprehensive staged surgery,and the prognosis is good.

OvaryUterusCarcinoma,endometrioid

李宝华、史连国、步晓琳

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厦门大学附属第一医院杏林分院病理科,厦门 361000

厦门大学附属第一医院病理科,厦门 361000

卵巢 子宫 癌,子宫内膜样

2024

实用医技杂志
山西医药卫生传媒集团有限责任公司

实用医技杂志

影响因子:0.534
ISSN:1671-5098
年,卷(期):2024.31(8)