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目的 分析原发性输卵管癌的误诊因素及提出对临床医生的启示。方法 采用回顾性的方法 ,将大连医科大学附属第一医院十年来误诊的 7例原发性输卵管癌病例 ,从发病年龄、临床表现、检查及治疗情况加以分析。结果 十年来我院诊断原发性输卵管癌共 8例 ,其中 7例误诊 ,误诊率 87.5 %。 7例平均发病年龄 5 7岁 ,5例已绝经 ,主要以腹部包块和阴道排液就诊。术前误诊为卵巢癌 4例、原发性子宫内膜癌 2例、卵巢子宫内膜异位囊肿破裂 1例。结论 应从思想上提高对输卵管癌的认识 ,尤其对绝经后的妇女在诊断卵巢癌或子宫内膜癌之前 ,要警惕原发性输卵管癌的可能。建议努力降低误诊率 ,逐步建立对输卵管癌的规范化治疗。
Objective To analyze the misdiagnosis factors of primary carcinoma of the fallopian tube and put forward the enlightenment to clinicians. Methods A retrospective analysis of 7 cases of primary fallopian tube carcinoma, which were misdiagnosed in the First Affiliated Hospital of Dalian Medical University from the age of onset, clinical manifestations, examination and treatment, was conducted. Results A total of 8 cases of primary fallopian tube cancer were diagnosed in our hospital over the past decade, of which 7 cases were misdiagnosed with a misdiagnosis rate of 87.5%. Seven patients had an average age of onset of 57 years and 5 had had menopause. The main findings were abdominal mass and vaginal discharge. Misdiagnosed as 4 cases of ovarian cancer before surgery, 2 cases of primary endometrial cancer, ovarian endometriosis rupture in 1 case. Conclusions The awareness of fallopian tube cancer should be raised ideologically, especially for the women with postmenopausal women who are aware of the possibility of primary fallopian tube cancer before they can diagnose ovarian cancer or endometrial cancer. It is suggested that efforts should be made to reduce the rate of misdiagnosis and gradually establish standardized treatment of fallopian tube cancer.