阔韧带子宫内膜样腺癌一例

Broad Ligament Endometrioid Carcinoma:A Case Report

阔韧带子宫内膜样癌是罕见的特殊部位的恶性肿瘤。其发病率极低,疾病的机制、诊断和治疗尚未明确。其临床表现缺乏特异性,术前常误诊为子宫或卵巢肿瘤。报告1例65岁阔韧带子宫内膜样癌患者的诊疗经过,术前误诊为卵巢肿瘤,经手术探查和术后病理明确诊断,另行全面分期手术。术后随访7个月,病情稳定,影像学检查未见异常,肿瘤相关指标未见异常。对于妇科检查扪及附件区肿物固定,影像学提示肿物边界清楚,需要考虑阔韧带肿瘤可能,应尽早手术。经病理诊断为阔韧带恶性肿瘤,应及时全面分期手术,术后长期随访。

Endometrioid carcinoma of the broad ligament is a rare malignant tumor in a specific site.Due to its low incidence rate,the mechanism,diagnosis and treatment have not been clarified.The clinical manifestations lack specificity and it is often misdiagnosed as uterine or ovarian tumors before surgery.Therefore,this paper reports the diagnosis and treatment of a65-year-old patient with broad ligament endometrioid carcinoma.Preoperatively,the patient was misdiagnosed as an ovarian tumor,but the diagnosis was confirmed through surgical exploration and postoperative pathology.The patient underwent a second surgery which was a comprehensive staging.Currently followed up for seven months,the patient recovered well,and showed no abnormalities in imaging examination and normal tumor indicators.With retrospective analysis of this case,when gynecological examination revealed the fixation of the tumor in the adnexal area,combined with imaging findings indicating clear boundaries of the tumor,it is necessary to consider the possibility of a broad ligament tumor and surgery should be performed as soon as possible.Once diagnosed with endometrial carcinoma of the broad ligament,timely and comprehensive staged operation should be performed,and long-term follow-up should be conducted after surgery.