期刊文献+
共找到1篇文章
< 1 >
每页显示 20 50 100
Minimal deviation adenocarcinoma with elevated CA19-9:A case report 被引量:1
1
作者 Yan Dong Ying Lv +1 位作者 Jing Guo Lin Sun 《World Journal of Clinical Cases》 SCIE 2021年第21期5999-6004,共6页
BACKGROUND Minimal deviation adenocarcinoma is a rare malignancy with a high rate of misdiagnosis and high aggressiveness,and its diagnosis relies on histopathology.Surgical resection is the preferred and most effecti... BACKGROUND Minimal deviation adenocarcinoma is a rare malignancy with a high rate of misdiagnosis and high aggressiveness,and its diagnosis relies on histopathology.Surgical resection is the preferred and most effective treatment,but the outcomes are often unsatisfactory.CASE SUMMARY A 60-year-old perimenopausal woman was admitted to the hospital and found to have elevated CA19-9 on physical examination without abdominal pain or vaginal bleeding.Clinical examination and positron emission tomography/computed tomography examination were unremarkable,magnetic resonance imaging examination was suggestive of dominant cervical lesions,and methylation examination was suggestive of malignant lesions.Tissue samples were taken from the suspected cervical lesion,and the final pathologic diagnosis was minimal deviation adenocarcinoma.Based on the pathologic diagnosis of suspected minimal deviation adenocarcinoma,radical abdominal total hysterectomy,bilateral oophorectomy,and pelvic and para-aortic lymph node dissection were performed.The final histological report confirmed minimal deviation adenocarcinoma of the cervix,stage IB2,with lymph node metastasis.Minimal deviation adenocarcinoma is a tumor with aggressive clinical behavior.CONCLUSION Patients with minimal deviation adenocarcinoma have a lower survival rate than patients with conventional human papillomavirus-related cervical adenocarcinoma.A precise preoperative pathologic diagnosis may reduce the mortality rate due to missed optimal treatment with multiple surgical interventions.To date,there is no therapeutic consensus;therefore,each case must be treated individually. 展开更多
关键词 METHYLATION Minimal deviation adenocarcinoma Positron emission tomography/computed tomography Magnetic resonance imaging PATHOLOGY Case report
下载PDF
上一页 1 下一页 到第
使用帮助 返回顶部