原发性输卵管癌2例报告

Report of 2 cases of primary fallopian tube carcinoma

目的探讨原发性输卵管癌的诊断及临床治疗方法。方法回顾性分析2006年6月—2011年2月新疆巴州人民医院妇科收治的2例原发性输卵管癌的临床资料。2例均行全子宫+双附件切除及盆腔淋巴结清扫术,术后均进行化疗。结果 2例原发性输卵管癌患者术前均误诊为卵巢癌,术后病理结果均为原发性输卵管癌。2例原发性输卵管癌患者1例术后21月死于癌复发,1例化疗后血清CA125降至22.3kU/L。结论原发性输卵管癌症状不典型,术前诊断困难,明确诊断主要依据术后病理,连续监测血清CA125水平对评估预后有指导意义。

Objective To discussthe diagnosis and clinical treatment of primary fallopian tube carcinoma.Methods A retrospective analysis was used in 2 cases with primary carcinoma of fallopian tube from June 2006 to February 2011 in Gynaecology department of Bazhou People’s Hospital. The 2 patients were both received total hysterectomy plus double appendix resection and pelvic lymph node dissection. Chemical therapy were given to the 2 patients post-operation .Results Two cases were misdiagnosed for ovarian cancer before surgery. Pathological reports showed primary[d1] fallopian tube carcinoma. 1 patient died of cancer recurrence 21 month post-operation. The level of CA125 in another patient reduced to 22.3 kU/L. Conclusion The symptoms of the primary carcinoma of fallopian tube generally were untypical the diagnosis was difficult before surgery. To clarify a diagnosis is mostly rely on postoperative pathologic diagnosis. Monitoring level of CA125 in patients with primary carcinoma of fallopian tube is worthy to evaluate prognosis.