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同步子宫内膜癌和卵巢癌1例并文献回顾
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Abstract:
报道并分析青岛大学附属医院病理确诊的1例同步子宫内膜癌和卵巢癌(SEOC)患者的临床表现、病理特点及治疗方法。该例SEOC患者临床表现不典型，诊断主要依靠术前及术后病理。术后病理示：1) 子宫宫内膜样癌，侵达浅肌层(<1/2肌层)，未累及双侧宫旁组织，未累及宫颈管。2) 右侧卵巢宫内膜样癌。3) 右侧卵巢透明细胞癌(OCCC)。SEOC临床较少见，诊断主要依靠病理诊断，目前首选手术治疗，术后仍需要辅助治疗，密切随访。
To report and analyze the clinical manifestations, pathological characteristics and treatment methods of a case of synchronous endometrial and ovarian carcinomas diagnosed by pathology in the Affiliated Hospital of Qingdao University, the clinical manifestations of this patient with synchronous endometrial and ovarian carcinomas are not typical, and the diagnosis mainly depends on preoperative and postoperative pathology. Postoperative pathology showed: 1) Endometrioid carcinoma of the uterus, invading superficial muscularis (<1/2 muscularis), not involving bilateral parametrial tissues, not involving cervical canal. 2) Right ovarian endometrioid carcinoma. 3) Clear cell carcinoma of the right ovary. Synchronous endometrial and ovarian carcinomas is rare in clinical practice, and its diagnosis mainly depends on pathological diagnosis. At present, surgical treatment is the first choice, and adjuvant treatment and close follow-up are still needed after surgery.
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