输卵管癌肉瘤MR误诊为卵巢癌1例A case of fallopian tube carcinosarcoma misdiagnosed as ovarian cancer on MR
李佳琪;张铎;
摘要(Abstract):
<正>患者女,50岁。主诉:转移性右下腹痛1个月。现病史:患者1个月前出现无明显诱因上腹部疼痛,疼痛呈持续性隐痛,无阵发性加剧,无明显放散痛。6 h前疼痛逐渐转移并固定于右下腹,伴有恶心及呕吐,为求进一步诊治来我院就诊。该患者发病以来,无发热,无腹胀及腹泻,无黑便,无黄疸;无进行性消瘦、午后低热、夜间盗汗等。饮食、二便正常,睡眠良好。既往病史:有2型糖尿病2年,胰岛素治疗,血糖控制好。盆腔超声显示右下腹至子宫上方不均质低回声包块。
关键词(KeyWords): 输卵管癌肉瘤;磁共振成像;鉴别诊断;卵巢癌
基金项目(Foundation):
作者(Author): 李佳琪;张铎;
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参考文献(References):
- [1]Huang JQ,Zhu ZL.Analysis of 7 cases of fallopian tube carcinosarcoma and literature review.Chin Oncology,2016,26(8):693-698.DOI:10.19401/j.cnki.1007-3639.2016.08.009.黄建琴,朱芝玲.输卵管癌肉瘤7例分析并文献复习.中国癌症杂志,2016,26(8):693-698.DOI:10.19401/j.cnki.1007-3639.2016.08.009.
- [2]Gupta R,Jenison EL.A rare case of carcinosarcoma of the fallopian tube presenting with torsion,rupture and hemoperitoneum.Gynecol Oncol Case Rep,2011,2(1):4-5.DOI:10.1016/j.gynor.2011.11.001.
- [3]Zhang Q,Liu A,Wu JJ,et al.Primary malignant mixed Mullerian tumors of the fallopian tube with cervix metastasis:A rare case report and literature review.Medicine(Baltimore),2018,97(28):e11311.DOI:10.1097/md.0000000000011311.
- [4]Kawakami S,Togashi K,Kimura I,et al.Primary malignant tumor of the fallopian tube:appearance at CT and MR imaging.Radiology,1993,186(2):503-508.DOI:10.1148/radiology.186.2.8380649.
- [5]Ma HY,Lu YY,Fang JY.A case of fallopian tube carcinosarcoma was misdiagnosed by ultrasound as uterine sarcoma.J Clin Ultrasound Med,2019,21(3):181,185.DOI:10.16245/j.cnki.issn1008-6978.2019.03.007.马红英,卢一艳,房敬阳.输卵管癌肉瘤超声误诊为子宫肉瘤样变1例.临床超声医学杂志,2019,21(3):181,185.DOI:10.16245/j.cnki.issn1008-6978.2019.03.007.
- [6]Xue Q,Wu QY,Wang J,et al.A case of fallopian tube carcinosarcoma was diagnosed by ultrasound.Chin J Med Imaging,2013,21(12):942.薛勤,吴群英,汪娟,等.超声诊断输卵管癌肉瘤1例.中国医学影像学杂志,2013,21(12):942.