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目的探讨原发性输卵管癌的临床病理特点和误诊原因,提高对输卵管癌的认识。方法回顾性分析术前误诊为卵巢瘤和宫颈腺癌的4例原发性输卵管癌。结果患者均为绝经期妇女,平均年龄为60.8岁,临床表现为腹痛、腹胀伴盆腔包块1例,单纯盆腔包块1例,阴道流血1例,阴道流血伴盆腔包块1例,组织类型中移行细胞癌2例,高分化腺癌1例,低分化腺癌1例,4例均进行术中快速病理检查,诊断为输卵管癌。结论原发性输卵管癌术前诊断率低,术中快速病理诊断有助于采取相应的手术方法。
Objective To investigate the clinicopathological features and misdiagnosis of primary fallopian tube cancer and to raise awareness of fallopian tube cancer. Methods Retrospective analysis of 4 cases of primary fallopian tube cancer misdiagnosed as ovarian tumor and cervical adenocarcinoma before operation. Results The patients were all menopausal women with a mean age of 60.8 years. The clinical manifestations were abdominal pain, abdominal distension with pelvic mass in 1 case, simple pelvic mass in 1 case, vaginal bleeding in 1 case, vaginal bleeding with pelvic mass in 1 case, 2 cases of transitional cell carcinoma, 1 case of well-differentiated adenocarcinoma, 1 case of poorly differentiated adenocarcinoma, 4 cases were performed intraoperative rapid pathological examination, the diagnosis of fallopian tube cancer. Conclusions The preoperative diagnosis rate of primary fallopian tube cancer is low, and rapid intraoperative pathological diagnosis is helpful to take appropriate surgical methods.