|
腹壁子宫内膜异位症相关透明细胞癌一例
|
Abstract:
子宫内膜异位症(endometriosis, EMs)是育龄期妇女的常见病,并具有侵袭、转移、复发等恶性生物学行为。目前研究表明其恶变部位主要发生在卵巢,恶变率约为1%,腹壁子宫内膜异位症恶变在临床更为罕见,目前关于腹壁子宫内膜异位症恶变国内外报道均较少,2024年内蒙古医科大学附属医院收治1例腹壁子宫内膜异位症相关性透明细胞癌(abdominal wall endometriosis-associated clear cell carcinoma, AWECC)患者,现报道如下。
Endometriosis (EMs) is a common disease among women of childbearing age, and it has malignant biological behaviors such as invasion, metastasis and recurrence. At present, the research shows that malignant transformation mainly occurs in the ovary, and the malignant transformation rate is about 1%. The malignant transformation of abdominal wall endometriosis is even rarer in clinic. At present, there are few reports about the malignant transformation of abdominal wall endometriosis at home and abroad. In 2024, the Affiliated Hospital of Inner Mongolia Medical University admitted a patient with abdominal wall endometriosis-associated clear cell carcinoma (AWECC), which is reported as follows.
[1] | Somigliana, E., Vigano, P., Parazzini, F., Stoppelli, S., Giambattista, E. and Vercellini, P. (2006) Association between Endometriosis and Cancer: A Comprehensive Review and a Critical Analysis of Clinical and Epidemiological Evidence. Gynecologic Oncology, 101, 331-341. https://doi.org/10.1016/j.ygyno.2005.11.033 |
[2] | Alaert, J., Lancelle, M., Timmermans, M., Tanos, P., Nisolle, M. and Karampelas, S. (2024) Malignancy in Abdominal Wall Endometriosis: Is There a Way to Avoid It? A Systematic Review. Journal of Clinical Medicine, 13, Article 2282. https://doi.org/10.3390/jcm13082282 |
[3] | Matter, M., Schneider, N. and McKee, T. (2003) Cystadenocarcinoma of the Abdominal Wall Following Caesarean Section: Case Report and Review of the Literature. Gynecologic Oncology, 91, 438-443. https://doi.org/10.1016/j.ygyno.2003.07.003 |
[4] | 郭爱莲. 腹壁子宫内膜异位症患者的临床诊治分析[D]: [硕士学位论文]. 青岛: 青岛大学, 2021. |
[5] | 卫蔷, 刘兴会. 剖宫产术中的无瘤防御问题——腹壁子宫内膜异位症的预防[J]. 中国实用妇科与产科杂志, 2023, 39(1): 31-34. |
[6] | Carsote, M., Terzea, D.C., Valea, A. and Gheorghisan-Galateanu, A. (2020) Abdominal Wall Endometriosis (a Narrative Review). International Journal of Medical Sciences, 17, 536-542. https://doi.org/10.7150/ijms.38679 |
[7] | 中国医师协会妇产科医师分会, 中华医学会妇产科学分会子宫内膜异位症协作组. 子宫内膜异位症诊治指南(第三版) [J]. 中华妇产科杂志, 2021, 56(12): 812-824. |
[8] | Pearce, C.L., Templeman, C., Rossing, M.A., et al. (2012) Association between Endometriosis and Risk of Histological Subtypes of Ovarian Cancer: A Pooled Analysis of Case-Control Studies. The Lancet Oncology, 13, 385-394. |
[9] | 陈宇, 陈倩, 郝春燕, 等. 子宫内膜异位症相关性卵巢癌研究进展[J]. 现代妇产科进展, 2023, 32(1): 69-72. |
[10] | Sampson, J.A. (1925) Endometrial Carcinoma of the Ovary, Arising in Endometrial Tissue in That Organ. Archives of Surgery, 10, 1-72. https://doi.org/10.1001/archsurg.1925.01120100007001 |
[11] | Scott, R.B. (1953) Malignant Changes in Endometriosis. Obstetrics & Gynecology, 2, 283-289. |
[12] | Castagnino, B., Angeramo, C.A. and Sadava, E.E. (2021) Clear Cell Carcinoma Arising from Endometriosis in the Abdominal Wall. Journal of Gastrointestinal Surgery, 25, 2707-2709. https://doi.org/10.1007/s11605-021-04992-5 |
[13] | Liu, G., Wang, Y., Chen, Y. and Ren, F. (2021) Malignant Transformation of Abdominal Wall Endometriosis: A Systematic Review of the Epidemiology, Diagnosis, Treatment, and Outcomes. European Journal of Obstetrics & Gynecology and Reproductive Biology, 264, 363-367. https://doi.org/10.1016/j.ejogrb.2021.08.006 |
[14] | 虞梁, 袁琳, 孟黄洋, 等. 基于病例报道腹壁子宫内膜异位症透明细胞癌变相关预后因素分析[J]. 国际妇产科学杂志, 2024, 51(2): 220-227. |
[15] | Taburiaux, L., Pluchino, N., Petignat, P. and Wenger, J. (2015) Endometriosis-Associated Abdominal Wall Cancer. International Journal of Gynecological Cancer, 25, 1633-1638. https://doi.org/10.1097/igc.0000000000000556 |
[16] | 肖桂香, 刘翠, 余俊, 等. 腹壁透明细胞癌临床病理学观察[J]. 中华病理学杂志, 2022, 51(4): 347-349. |
[17] | Pipal, V.R., Singh, P., Pipal, D.K. and Elhence, P. (2023) Skin Metastases in Ovarian Malignancy: A Case Report with Literature Review. Journal of Mid-Life Health, 14, 49-52. https://doi.org/10.4103/jmh.jmh_137_22 |
[18] | 姜亮亮, 王晶. 上皮性卵巢癌远处转移的诊治进展[J]. 实用肿瘤学杂志, 2018, 32(5): 480-482. |
[19] | 杨春雨, 刘岩, 王占宇, 等. 子宫内膜癌术后孤立性腹壁转移瘤一例[J]. 实用肿瘤杂志, 2017, 32(4): 378-380. |
[20] | Choudhary, D., Sharma, G., Singh, T., Chishi, N. and Garg, P.K. (2019) Isolated Abdominal Wall Metastasis in Early Ovarian Cancer: A True Systemic Metastasis or Local Tumour Cells Implantation. Journal of Obstetrics and Gynaecology, 39, 724-726. https://doi.org/10.1080/01443615.2019.1578734 |
[21] | 夏海泓, 王剑, 汤华晓. 腹壁透明细胞癌1例的影像表现及文献复习[J]. 中国实用医药, 2024, 19(3): 147-149. |
[22] | 张玮玥, 杨静, 季佳楠, 等. 腹壁子宫内膜异位症相关性透明细胞癌的诊治进展[J]. 国际妇产科学杂志, 2024, 51(1): 60-65. |
[23] | Lengelé, B. and Scalliet, P. (2009) Anatomical Bases for the Radiological Delineation of Lymph Node Areas. Part III: Pelvis and Lower Limbs. Radiotherapy and Oncology, 92, 22-33. https://doi.org/10.1016/j.radonc.2008.11.007 |
[24] | 武薇. MRI核磁共振在妇科恶性肿瘤诊治中的效果分析[J]. 实用妇科内分泌电子杂志, 2021, 8(16): 77-79. |
[25] | 江茂情, 孙龙, 吴华. 18F-FDGPET/CT诊断腹壁子宫内膜异位恶变术后复发1例并文献复习[J]. 中国临床医学影像杂志, 2013, 24(4): 301-303. |
[26] | Hashemi, S.R., Morshedi, M., Maghsoudi, H., Esmailzadeh, A. and Alkatout, I. (2021) Clear-Cell Carcinoma Originating from Cesarean Section Scar: Two Case Reports. Journal of Medical Case Reports, 15, Article No. 146. https://doi.org/10.1186/s13256-021-02775-9 |
[27] | 蒋冰倩. 输尿管子宫内膜异位症恶变合并卵巢癌1例[J]. 中国临床医学影像杂志, 2024, 35(3): 225-227. |
[28] | Ferrandina, G., Palluzzi, E., Fanfani, F., Gentileschi, S., Valentini, A.L., Mattoli, M.V., et al. (2016) Endometriosis-associated Clear Cell Carcinoma Arising in Caesarean Section Scar: A Case Report and Review of the Literature. World Journal of Surgical Oncology, 14, Article No. 300. https://doi.org/10.1186/s12957-016-1054-7 |
[29] | Harris, C.M., Singleton, M.P., Samulski, T. and Clark, L.H. (2024) Primary Peritoneal Clear Cell Carcinoma Arising in the Setting of Abdominal Wall Endometriosis: A Case Report and Review of the Literature. Gynecologic Oncology Reports, 53, Article 101370. https://doi.org/10.1016/j.gore.2024.101370 |
[30] | Petit, C., Donval, L., Chandeze, M., Chis, C., Joste, M. and Panel, P. (2023) Surgery of Abdominal Wall Endometriosis Associated with Clear-Cell Carcinoma: Case Report and Review. Journal of Gynecology Obstetrics and Human Reproduction, 52, Article 102561. https://doi.org/10.1016/j.jogoh.2023.102561 |
[31] | Zhou, Y. and Hua, K. (2018) Ovarian Endometriosis: Risk Factor Analysis and Prediction of Malignant Transformation. Menopausal Review, 17, 43-48. https://doi.org/10.5114/pm.2018.74902 |
[32] | 王凯, 武晓凤, 范晴敏, 等. 超声引导下微波消融治疗腹壁子宫内膜异位症的临床疗效[J]. 中国超声医学杂志, 2023, 39(4): 441-444. |