原发性输卵管癌14例临床分析

Primary fallopian tube carcinoma: analysis of 14 cases

目的：分析原发性输卵管癌的临床特点，以提高其早期诊断率。方法回顾性分析该院2007-01～2013-12收治的14例原发性输卵管癌患者的临床资料，包括其临床表现、肿瘤标志物及影像学检查结果。结果14例患者中位年龄52岁，有盆腔包块13例（13／14），阴道流血9例（9／14），阴道流液8例（8／14），腹痛、腹胀5例（5／14），输卵管癌“三联征”（阴道排液、阴道流血和盆腔包块）8例（8／14），CA125升高10例（10／14）。结论中老年女性有盆腔包块合并阴道流血、流液、腹痛、腹胀等症状，诊断应考虑原发性输卵管癌。

Objective To analyze the clinical characterstics of patients with primary fallopian tube carcino-ma（ PFTC） and improve the early diagnostic rate of PFTC. Methods The clinical data of 14 patients with PFTC treated in the People＇s Hospital of Guangxi Zhuang Autonomous Region from January 2007 to December 2013 were ret-rospectively analyzed ,including clinical manifestations, tumor markers and imaging results. Results The median age of 14 patients was 52 years old.The clinical manifestations included pelvic mass in 13 patients（13/14）, vaginal bleeding in 9 patients（9/14）, vaginal discharge in 8 patients（8/14）, abdominal pain and abdominal distension in 5 patients（5/14）.Fallopian tube carcinoma triad（vaginal discharge, vaginal bleeding and pelvic mass） in 8 patients （8/14）.CA125 rose in 10 patients（10/14）.Conclusion For middle-aged and old women with pelvic mass compli-cated with vaginal bleeding, fluid discharge and symptoms of abdominal pain, abdominal distension and so on, the diagnosis of PFTC should be considered.