摘要
目的 探讨小肠间质瘤的诊治方法、误诊原因和防范措施。方法 回顾性分析2020年1—12月3例误诊为卵巢肿瘤的小肠间质瘤临床资料,并进行文献复习。结果 3例因下腹疼痛或体检发现盆腔包块就诊,超声提示子宫附近包块,结合盆腔MRI及妇科检查诊断为卵巢肿瘤,行手术治疗,术后病理提示小肠间质瘤。3例术后均行靶向药物或中药治疗,术后存活良好(中位随访时间10个月)。结论 下移至盆腔的小肠间质瘤与卵巢肿瘤鉴别困难,临床医生在诊疗过程中应当提高警惕,尤其是肿瘤标志物正常的患者,可行增强CT检查,避免误诊。
Objective To explore the diagnosis and treatment methods, misdiagnosis causes and preventive measures of small intestinal stromal tumor(SIST). Methods The clinical data of 3 cases of SIST misdiagnosed as ovarian tumor from January 2020 to December 2020 were retrospectively analyzed, and the literature was reviewed. Results All 3 cases presented with lower abdominal pain or pelvic mass found on physical examination. Ultrasound examination showed a mass near the uterus. Combined with pelvic magnetic resonance imaging and gynecological examination, they were diagnosed with ovarian tumor and underwent surgical treatment. The postoperative pathological examination showed SIST. All 3 patients received targeted drug therapy or traditional Chinese medicine postoperatively, and the postoperative survival was good(median follow-up time was 10 months). Conclusion It is difficult to distinguish SIST that move down to the pelvis from ovarian tumor. Clinicians should be vigilant in the process of diagnosis and treatment, and especially in patients with normal tumor markers, enhanced CT examination can be performed to avoid misdiagnosis.
作者
何丹妮
侯户杨
施恒梅
申艳
徐青
叶春萍
石晓燕
HE Dan-ni;HOU Hu-yang;SHI Heng-mei;SHEN Yan;XU Qing;YE Chun-ping;SHI Xiao-yan(Department of Gynecology,Womens Hospital of Nanjing Medical University,Nanjing Maternity and Child Health Care Hospital,Nanjing 210000,China)
出处
《临床误诊误治》
CAS
2022年第7期16-18,共3页
Clinical Misdiagnosis & Mistherapy
关键词
小肠间质瘤
误诊
卵巢肿瘤
Small intestinal stromal tumor
Misdiagnosis
Ovarian neoplasms
