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10例上皮样滋养细胞肿瘤的临床诊治分析

李源 杨隽钧 向阳 万希润 冯凤芝 任彤 赵峻 魏艳秋 李文娟

生殖医学杂志2018,Vol.27Issue(6):510-514,5.
生殖医学杂志2018,Vol.27Issue(6):510-514,5.DOI:10.3969/j.issn.1004-3845.2018.06.002

10例上皮样滋养细胞肿瘤的临床诊治分析

Analysis of clinical diagnosis and treatment of epithelioid trophoblastic tumor:a report of 10 cases

李源 1杨隽钧 1向阳 1万希润 1冯凤芝 1任彤 1赵峻 1魏艳秋 2李文娟3

作者信息

  • 1. 中国医学科学院北京协和医学院北京协和医院妇产科,北京 100730
  • 2. 山东省滕州市中心人民医院妇一科,滕州 277500
  • 3. 辽宁省人民医院妇科,沈阳 110016
  • 折叠

摘要

Abstract

Objective:To investigate the clinical features and treatments in patients with epithelioid trophoblastic tumor(ETT).Methods:The data including clinic pathologic characteristics,treatments and prognosis of 10 patients with ETT in Peking Union Medical College Hospital from July 2010 to August 2017 were analyzed retrospectively.Results:Nine patients showed abnormal vaginal bleeding.Their serum β-HCG ranged from 0 to 3 303 U/L.Five patients were in stage Ⅰ,2 patients in stage Ⅱ,and 3 patients in stage Ⅲ.Two patients underwent hysterectomy without chemotherapy.Other 8 patients were treated with multimodality treatment(combined with surgery and chemotherapy);6 patients of them underwent hysterectomy,1 patient underwent para rectal peritoneal mass excision and 1 patient underwent vaginal lesion excision.Nine patients achieved complete remission(CR),and 1 patient had relapse after CR.Conclusions:ETT is a rare intermediate trophoblastic tumor.The clinical manifestation is non-specific,and its diagnosis depends on surgical pathology and immunohistochemistry.Surgery is the most important treatment.

关键词

上皮样滋养细胞肿瘤/手术/化疗/预后

Key words

Epithelioid trophoblastic tumor/Surgery/Chemotherapy/Prognosis

引用本文复制引用

李源,杨隽钧,向阳,万希润,冯凤芝,任彤,赵峻,魏艳秋,李文娟..10例上皮样滋养细胞肿瘤的临床诊治分析[J].生殖医学杂志,2018,27(6):510-514,5.

基金项目

国家自然科学基金资助项目(81672586) (81672586)

生殖医学杂志

OACSTPCD

1004-3845

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