卵巢小细胞神经内分泌癌1例

中国综合临床 Pub Date : 2020-01-01 DOI:10.3760/CMA.J.ISSN.1008-6315.2020.01.017

Jie Shi, Weiwei Tang, Mei-Juan Luo

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引用次数: 0

摘要

目的卵巢小细胞神经内分泌癌是一种发病率极低的卵巢癌。临床表现不明显。诊断应根据病理和神经内分泌指标，并确定其原发性质。主要治疗方法为手术联合铂基化疗。生存期与临床分期及治疗方案有关。患者因腹胀疼痛加重住院2天半年。附件肿块的诊断经病理证实。经3个周期的新辅助化疗(依托泊苷+顺铂)后，患者行腹部“全子宫切除术+大网膜切除术+阑尾切除术+右盆腔壁腹膜活检+肠系膜活检”。术后患者接受3个周期EP化疗，随访15个月。关键词:卵巢小细胞癌;双附肢全子宫切除术;网膜切除;化疗

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A case of small cell neuroendocrine carcinoma of ovary

Objective Small cell neuroendocrine carcinoma of the ovary is a kind of ovarian cancer with a very low incidence.Its clinical manifestations are not obvious.The diagnosis should be based on the pathology and neuroendocrine indicators, and its primary nature should be determined.The main treatment is operation combined with platinum based chemotherapy.The survival period is related to clinical stage and treatment plan.The patient was hospitalized for 2 days because of the aggravation of abdominal distention and pain for half a year.The diagnosis of adnexal mass was confirmed by pathology.After three cycles of neoadjuvant chemotherapy (etoposide+ cisplatin), the patients underwent abdominal " total hysterectomy+ greater omentum resection+ appendectomy+ right pelvic wall peritoneal biopsy+ mesenteric biopsy" . After the operation, the patients received three cycles of EP chemotherapy, and they have been followed up for 15 months. Key words: Small cell carcinoma of ovary; Total hysterectomy with double appendages; omentum resection; Chemotherapy

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来源期刊

中国综合临床

CiteScore

0.10

自引率

0.00%

发文量

16855

期刊介绍： Clinical Medicine of China is an academic journal organized by the Chinese Medical Association (CMA), which mainly publishes original research papers, reviews and commentaries in the field. Clinical Medicine of China is a source journal of Peking University (2000 and 2004 editions), a core journal of Chinese science and technology, an academic journal of RCCSE China Core (Extended Edition), and has been published in Chemical Abstracts of the United States (CA), Abstracts Journal of Russia (AJ), Chinese Core Journals (Selection) Database, Chinese Science and Technology Materials Directory, Wanfang Database, China Academic Journal Database, JST Japan Science and Technology Agency Database (Japanese) (2018) and other databases.