有非妇科恶性肿瘤病史的女性附件肿块的病因:复发、二次、原发性还是无?

Harika Yumru Celiksoy, Hamdullah Sozen, Merve Baktiroglu, Samet Topuz, Yavuz Salihoglu
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摘要

目的:在有非妇科恶性肿瘤(NGM)病史的患者中发生附件肿块引起了对恶性肿瘤的关注,无论是原发性还是转移性。后续治疗和预后取决于病因。我们的目的是探讨有NGM病史的可疑附件肿块患者的特点和结果。材料与方法:对61例因附件肿物行手术治疗的NGM患者的病历进行分析。复杂的附件肿块包括在分析中,而简单的囊肿被排除在外。结果:NGM最常见的来源是胃肠道(胃和结肠)和乳腺。所有附件肿块中,良性4例(6.5%),原发卵巢恶性22例(36.1%),转移35例(57.4%)。22例原发病例中2例为交界性卵巢肿瘤。原发组和转移组的特征中,病理结果的偏侧性和血清CA125水平有统计学差异(p)结论:有胃肠道肿瘤病史的患者,肿瘤以卵巢转移形式复发的可能性更大,而不是第二原发癌。原发性卵巢癌(POC)的风险是显著的在那些有乳腺癌病史。包括妇科肿瘤学家在内的多学科策略在管理这些病例中起着重要作用,无论是否为POC。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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The etiology of adnexal masses in women with a history of non-gynaecological malignancy: recurrence, second, primary or none?

Objective: The occurrence of adnexal masses in patients with a history of non-gynaecological malignancy (NGM) raises concerns for malignancy, either primary or metastasis. Subsequent treatment and prognosis depends on the etiology. Our aim was to investigate the characteristics and results of the patients with suspicious adnexal masses, who had a history of NGM.

Material and methods: The records of 61 patients with a history of NGM were analyzed, who were operated for an adnexal mass. Complex adnexal masses were included in the analysis while simple cysts were excluded.

Results: The most common NGM origins were gastrointestinal (gastric and colorectal) tract and breast. Of all adnexal masses, four were benign (6.5%), 22 were primary ovarian malignancy (36.1%) and 35 were metastasis (57.4%). Two of the 22 primary cases were borderline ovarian tumor. Among the characteristics of primary and metastatic groups, laterality in pathology results and serum CA125 levels were statistically different (p<0.05). Among the patients with history of gastrointestinal cancers, the percentage of ovarian metastasis was 81%. Primary ovarian malignancy was most frequently (64%) observed among the patients with history of breast cancers.

Conclusion: For patients with a history of gastrointestinal cancer, recurrence of the cancer in the form of ovarian metastasis was more likely, rather than a second primary cancer. The risk of primary ovarian cancer (POC) was remarkable in those with history of a breast cancer. A multidisciplinary strategy, including a gynaecological oncologist, plays an important role in managing these cases, regardless of whether or not it is a POC.

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来源期刊
CiteScore
2.40
自引率
7.10%
发文量
56
期刊介绍: Journal of the Turkish-German Gynecological Association is the official, open access publication of the Turkish-German Gynecological Education and Research Foundation and Turkish-German Gynecological Association and is published quarterly on March, June, September and December. It is an independent peer-reviewed international journal printed in English language. Manuscripts are reviewed in accordance with “double-blind peer review” process for both reviewers and authors. The target audience of Journal of the Turkish-German Gynecological Association includes gynecologists and primary care physicians interested in gynecology practice. It publishes original works on all aspects of obstertrics and gynecology. The aim of Journal of the Turkish-German Gynecological Association is to publish high quality original research articles. In addition to research articles, reviews, editorials, letters to the editor, diagnostic puzzle are also published. Suggestions for new books are also welcomed. Journal of the Turkish-German Gynecological Association does not charge any fee for article submission or processing.
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