广州医药 ›› 2023, Vol. 54 ›› Issue (6): 56-60.DOI: 10.3969/j.issn.1000-8535.2023.06.010

• 论著 • 上一篇    下一篇

藏族女性子宫癌肉瘤1例并文献复习

陈小兰, 毛毳   

  1. 西藏自治区人民政府驻成都办事处医院妇科(成都 610041)
  • 收稿日期:2022-08-17 出版日期:2023-06-20 发布日期:2023-07-27
  • 通讯作者: 毛毳,E-mail:11503489@qq.com

A case of Tibetan female uterine carcinosarcoma and literature review

CHEN Xiaolan, MAO Cui   

  1. Department of Gynecology,Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region,Chengdu 610041,China
  • Received:2022-08-17 Online:2023-06-20 Published:2023-07-27

摘要: 目的 分析子宫癌肉瘤的临床诊疗过程及其特征,以期提高对该病的认识。方法 回顾性分析我院收治的1例藏族女性子宫癌肉瘤患者的临床资料。并检索中国万方、中华医学期刊、PubMed等数据库,对相关文献进行系统性分析,归纳其临床、病理特点。结果 本例患者术后一般情况良好,切口痊愈出院,电话随访了解到患者术后9月均未按期进行复查,亦未行术后辅助治疗,无法获得辅助治疗和随访复诊的情况。结论 子宫癌肉瘤在临床上较为少见,无特异性临床表现,确诊依靠病理,病理上有特殊性,含有癌和肉瘤两种组织成分,治疗上参考子宫内膜癌的高危特殊组织类型处理,但缺少有效的治疗手段,需要采用各种综合治疗,预后较差。

关键词: 子宫癌肉瘤, 临床病理特征, 治疗

Abstract: Objective To analyze the clinical diagnosis and treatment of uterine carcinosarcoma and its characteristics,in order to improve the understanding of the disease.Methods The clinical data of a Tibetan woman with uterine carcinosarcoma treated in our hospital was analyzed retrospectively.The databases of China Wanfang,Chinese Medical Journal and PubMed were searched,and the relevant literatures were systematically analyzed to summarize the clinical and pathological characteristics.Results This patient was generally in good condition after operation.The incision was healed and she was discharged.The telephone follow-up found that the patient did not receive re-examination as scheduled in 9 months after the operation,and did not receive postoperative adjuvant treatment.The follow-up situation was unable to obtain.Conclusions Uterine carcinosarcoma is relatively rare in clinic and has no specific clinical manifestations.The diagnosis depends on pathology.It has particularity in pathology and contains two kinds of tissue components:cancer and sarcoma.Treatment refers to high-risk special tissue types of endometrial cancer,but there is a lack of effective treatment means,a variety of comprehensive treatment is needed,and the prognosis is poor.

Key words: uterine carcinosarcomas, clinicopathological features, treatment