摘要
大多数妊娠性滋养细胞肿瘤继发于葡萄胎妊娠之后,恶性程度高,病灶大多通过血行转移首先转移到肺,化疗治愈率高达90%,大部分患者保留生育功能。文章对1例宫颈部位妊娠性滋养细胞肿瘤病例进行回顾性研究,根据患者孕产史、临床表现、病理学特点,辅助检查及临床治疗,并且复习相关文献。提示在疾病的诊断过程中,一定要有规范化的诊疗方法。葡萄胎清宫术后血绒毛促性腺激素(HCG)水平和影像学检查是诊断基础,明确疾病,尽早的鉴别诊断和及时的治疗对有生育要求的患者的生活质量非常重要。
Most of the gestational trophoblastic tumors are secondary to hydatidiform mole pregnancy and have a high degree of malignancy.Most of the lesions move to the lungs through blood metastasis.The cure rate of chemotherapy is as high as 90%.Most of the patients retain fertility.This paper retrospectively studied a case of gestational trophoblastic tumor of the cervix.According to the history of pregnancy and childbirth,clinical manifestations,pathological features,auxiliary examination and clinical treatment,and reviewed the relevant literature.It is suggested that there must be standardized diagnosis and treatment in the course of disease diagnosis.The level of serum chorionic gonadotropin(HCG)and imaging examination after hydatidiform mole curettage are the basis of diagnosis.Definite diagnosis,early differential diagnosis and timely treatment are very important to the quality of life of patients with fertility requirements.
作者
杨焰枫
张新
YANG Yanfeng;ZHANG Xin(The First Clinical College of Liaoning University of Traditional Chinese Medicine,Shenyang Liaoning 110032,China;Department of Gynecology,Liaoning Province Cancer Hospital,Shenyang Liaoning 110042,China)
出处
《中国卫生标准管理》
2018年第23期67-68,共2页
China Health Standard Management
关键词
宫颈
妊娠性滋养细胞肿瘤
鉴别诊断
化疗
血清绒毛促性腺激素水平
生育要求
cervix
gestational trophoblastic neoplasm
differential diagnosis
chemotherapy
serum gonadotropin levels
fertility requirement
