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CO2冷冻治疗阴道残端复发性卵巢癌1例的疗效观察及文献复习

Effect of cryosurgery on recurrent ovarian cancer at vaginal residue:a case report

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【作者】 孙霭萍; 佟杰; 李敏; 王石麟; 潘子昂; 盛瑞红;

【Author】 SUN Ai-ping,TONG Jie,LI Min,et al Department of Obstetrics and Gynecology,China-Japan Friendship Hospital,Beijing,100029,China

【机构】 中日友好医院妇产科; 中日友好医院病理科; 中日友好医院电镜室; 中日友好医院电镜室 北京100029; 北京100029;

【摘要】 目的观察冷冻治疗阴道残端复发性卵巢癌的效果。方法经阴道冷冻阴道残端复发性卵巢粘液性癌1例,比较冷冻前后肿瘤组织病理学改变;定期复查记录瘤体变化;末次冷冻后1周剖腹行肿瘤细胞减灭术。结果冷冻前组织中见许多形态、结构完整的肿瘤细胞,冷冻后肿瘤组织细胞完全破碎、丧失一切正常结构,瘤体随着重复冷冻逐渐缩小。术后病理纤维结缔组织中见少许粘液腺癌浸润。结论冷冻治疗阴道残端癌,可以有效地减灭肿瘤,操作简便,副作用少。冷冻可以与化疗、手术结合作为妇科恶性肿瘤综合治疗的一部分。

【Abstract】 Objective:To observe the effect of cryosurgery on recurrent ovarian cancer at vaginal residue.Methods:Cryosurgery via vagina was used to treat a patient diagnosed as recurrent mucinous ovarian cancer at vaginal residue.The pathological change was compared fore-and-after cryosurgery.The bulk of tumor was examined termly.The cytoreductive surgery was performed 1 week after last cryosurgery.Results:Many cancer cells with intact figure and structure before cryosurgery was completely destroyed after cryosurgery and lost normal structure. The bulk of tumor was gradually reduced afer cryosurgery.Pathological report showed a little mucinous adenocarcinoma among fibrous connective tissue.Conclusion:Cryotherapy is an effective,convenient and less side-effect method to treat tumor metastasis at vagial residue.As part of integrative therapy,cryosurgery can be used to cure gynecologic tumor with chemotherapy and surgery.

【关键词】 冷冻; 阴道残端; 卵巢癌; 疗效;
【Key words】 cryosurgery; vaginal residue; ovarian cancer; effect;
  • 【文献出处】 中日友好医院学报 ,Journal of China-Japan Friendship Hospital , 编辑部邮箱 ,2007年03期
  • 【分类号】R737.34
  • 【被引频次】3
  • 【下载频次】57
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