摘要
目的探讨临床上肠道间质瘤患者常常误诊为卵巢癌的原因,进一步明确他们之间的鉴别点,降低该病的临床误诊率。方法回顾性分析2007年3月至2010年4月在我院妇科住院的3例术前诊断为卵巢癌,术中探查及术后病理证实为肠道间质瘤患者的临床资料。结果 3例患者中2例为绝经后妇女,2例以急腹症表现入院,1例伴肿瘤标记物升高,仅1例术前行盆腔CT检查,结果提示肿瘤可能来源于卵巢或肠道。3例患者术前诊断均为卵巢癌,行开腹手术,术中探查结合术后病理诊断为肠道间质瘤。结论尤其是绝经后妇女出现盆腹腔肿物时应考虑到有肠道间质瘤的可能。血清CA125、超声联合盆腹腔CT检查有助于术前诊断。最终诊断依赖病理免疫组化证实。
Objective To explore causes that the clinical patients with intestinal stromal tumors are often misdiagnosed as ovarian cancer, further more,we can clarify the differential points between them to reduce the rate of misdiagnosis of the disease. Methods retrospective analysing three oases who are diagonosed ovarian cancer before surgery, from March 2007 to July 2010 in our gynecolngical hospital.They are confitreed as patients with intestinal stromal tumor from exploration and intranperative pathology .Results Two patients were postmenopeusal women, Two of them had acute abdomen symptoms.one of them had high tumor markers, only one case had done CT scanning, The results suggestted that tumors may be derived from the ovary or bowel Road. Three patients had been diagnosed as ovarian cancer before the operation and was found to be a intestinal stremal tumor during the operation. Conclusions When a big mass occurred in the pelvic of the women or postmenopausal women, it may be intestinal stromal tumor not from the ovary. Serum CA125, ultrasound and abdominal CT scanning can be helpful for the diagnosis before the surgery.The final diagnosia depended on immunohistochemistry.
出处
《遵义医学院学报》
2010年第4期354-357,共4页
Journal of Zunyi Medical University
关键词
腑道间质瘤
卵巢癌
急腹痘
Intestinal stromal tumor
Ovarian censer
Abdomen acute
