原发性输卵管癌13例临床病理分析及文献复习

13 cases of primary fallopian tube carcinoma (PETC):Clinical pathological analysis and literature review

目的对13例原发性输卵管癌（PFTC）的临床特点、病理组织学类型及生物学行为进行回顾性分析。就其早期诊断、诊断和鉴别诊断提出参考意见。方法收集同期妇科恶性肿瘤989例，从中查出13例PFTC病例供研究，分析病历，观察HE组织学切片。8例病人有随访材料。结果发病率占妇科恶性肿瘤的l．3％（13／989）。该病多发生于绝经后妇女。主要症状为间断性阴道液状分泌物增多和盆腔包块。13例患者临床Ⅰ期、病理学Ⅰ级4例；临床Ⅱ期4例，其中病理学Ⅰ级1例子、Ⅱ级1例、Ⅲ级2例；临床Ⅲ期5例，其中病理学Ⅱ级4例、Ⅲ级1例；没有Ⅳ期。结论经随诊8例分析，输卵管爆的5年存活率为75．0％，似乎与临床期别和治疗方式有关，而与组织学分级关系不大。

To analyze the clinical characteristic,histopathological calssificaion and biological behabior of 13 casesof primary fallopian tube carcinoma(PFTC) retrospectively.Method 989 cases with all type of gynecological cancer werestudied.Of them,l3 cases were PFTC.They were analyzed clinically and their HE histological sections were investigated. 8 caseshad follow-up records.Result The incidence of PFTC was l .3% (l3/989). Most of the patients were after menopause.Themain symptoms were paroxysmal vaginal discharge and pelvic mass.Among l3 cases 0f PFTC, there were 4 cases of clinical stageI and pathological grade I;4 cases of stage II,including 1 cases of pathological grade I,1 case of grade Ii,2 cases of grade III;5 cases of clinical stage III, including 4 cases of pathological grade II,1 case of grade III. Conclusion From the analysis ofthe 8 follow-up records,the 5 year survival rate is 75.0%. It seems that the prognosis is depended on the clinical stage and treat-ment, and it is irrelevant to the histopathological grade.