Endometrioid carcinoma arising from diaphragmatic endometriosis treated with laparoscopy: A case report
Endometrioid carcinoma arising from diaphragmatic endometriosis treated with laparoscopy: A case report
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DOI：
10.1111/jog.13595
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发表时间：
2018-05-01
影响因子：
1.6
通讯作者：
Kitawaki, Jo
中科院分区：
文献类型：
--
作者：
Okimura, Hiroyuki;Tatsumi, Hiroshi;Kitawaki, Jo
子宫内膜异位症恶变是罕见的。我们报告一位因子宫内膜异位症引起的子宫内膜样癌，以腹腔镜治疗。一位59岁的高龄孕妇，因子宫腺肌症于47岁时接受子宫切除术，因肝脏表面肿瘤而转介至本院接受检查。一个集成的正电子发射断层扫描，计算机断层扫描显示一个3厘米的结节上的肝脏表面异常氟-18-脱氧葡萄糖积累。进行了膈肌和肝脏的部分切除。组织学检查发现一个子宫内膜异位症引起的子宫内膜样癌。我们还进行了腹腔镜双侧输卵管卵巢切除术和部分网膜切除术。切除的组织显示无恶性肿瘤。给予紫杉醇和卡铂辅助化疗。在子宫内膜肿瘤的情况下，应考虑子宫内膜异位症及其相关的恶性肿瘤。腹腔镜手术对此类患者有效。
Malignant transformation of diaphragmatic endometriosis is rare. We present a case of endometrioid carcinoma arising from diaphragmatic endometriosis treated with laparoscopy. A 59-year-old primigravida woman who had undergone abdominal hysterectomy for adenomyosis at the age of 47 years was referred to our hospital for investigation of a tumor on the surface of the liver. An integrated positron emission tomography-computed tomography scan revealed a 3-cm nodule on the surface of the liver with abnormal fluorine-18-deoxyglucose accumulation. Partial resection of the diaphragm and liver was performed. Histopathological examination revealed an endometrioid carcinoma arising from diaphragmatic endometriosis. We additionally performed laparoscopic bilateral salpingo-oophorectomy and partial omentectomy. The resected tissues revealed no malignancy. Adjuvant chemotherapy with paclitaxel and carboplatin was administered. In cases of diaphragmatic tumors, endometriosis and its associated malignancies should be considered. Laparoscopic surgery is effective in patients with such conditions.