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目的分析原发性输卵管癌的临床特征及治疗过程,以提高对原发性输卵管癌的认识。方法对11例原发性输卵管癌的临床资料进行回顾性分析。结果原发性输卵管癌最常见体征为盆腔包块;阴道流血、排液为较常见的临床表现。以腹痛、阴道排液、盆腔包块的“三联症”并不多见,而以盆腔包块伴阴道排液或不规则出血的“二联症”则相对较多见。术前仅1例确诊。CA125监测有助于疾病的诊断及术后病情监测。结论应提高并重视对原发性输卵管癌的认识,术前认真分析病情及术中及时行肿瘤细胞减灭术是减少误诊、满意治疗的关键环节。
Objective To analyze the clinical features and treatment of primary fallopian tube cancer to raise awareness of primary fallopian tube cancer. Methods The clinical data of 11 patients with primary fallopian tube cancer were analyzed retrospectively. Results The most common signs of primary fallopian tube cancer pelvic mass; vaginal bleeding, drainage of the more common clinical manifestations. In order to abdominal pain, vaginal discharge, pelvic mass “triad ” is rare, and to pelvic mass with vaginal discharge or irregular bleeding “second trimester ” is relatively more common. Preoperative diagnosis of only 1 case. CA125 monitoring helps in the diagnosis of disease and postoperative condition monitoring. Conclusions The understanding of primary fallopian tube cancer should be increased and valued. Preoperative careful analysis of the condition and timely intraoperative cytoreductive surgery are the key steps to reduce misdiagnosis and satisfactory treatment.