单孔腹腔镜手术是诊断原发性卵巢淋巴瘤的有效工具:病例报告。

IF 0.4 Q4 SURGERY Journal of Surgical Case Reports Pub Date : 2024-11-24 eCollection Date: 2024-11-01 DOI:10.1093/jscr/rjae743
Kiyono Osanai, Akihiko Misawa, Shion Mitsuya, Makoto Osaka, Yasunori Sato, Atsushi Suzuki
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引用次数: 0

摘要

卵巢淋巴瘤是一种罕见病变,术前诊断通常比较困难。因此,通常在卵巢癌的推定诊断下进行开腹手术。如果卵巢癌的初次根治手术具有挑战性,则会进行诊断性腹腔镜手术。在此,我们报告了一例通过单孔腹腔镜手术有效诊断出原发性卵巢淋巴瘤的病例。一名 55 岁的妇女因异常子宫出血前来就诊。PET-CT 结果提示卵巢癌伴多发转移。由于根治性手术难度很大,她接受了单孔腹腔镜手术。她恢复顺利,术后第四天就出院了。病理诊断出来后,她被转到血液科接受治疗。建议对晚期卵巢癌患者进行腹腔镜诊断,以便术后早期治疗。本病例凸显了单孔腹腔镜手术在准确诊断和早期治疗腹腔内恶性肿瘤方面的实用性。
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Single-port laparoscopic surgery as a useful diagnostic tool for primary ovarian lymphoma: a case report.

The preoperative diagnosis of ovarian lymphoma, a rare pathology, is often difficult. Consequently, laparotomy is usually performed under the presumptive diagnosis of ovarian cancer. In cases where the initial curative surgery for ovarian cancer is challenging, diagnostic laparoscopy is performed. Herein, we report a case in which single-port laparoscopic surgery effectively diagnosed primary ovarian lymphoma. A 55-year-old woman presented with abnormal uterine bleeding. PET-CT findings suggested ovarian cancer with multiple metastases. Single-port laparoscopic surgery was performed because curative surgery was deemed difficult. She had an uneventful recovery and was discharged on the fourth postoperative day. After the pathological diagnosis was made, she was referred to the hematology department for treatment. Diagnostic laparoscopy is recommended for advanced ovarian cancer to facilitate early postoperative treatment. This case highlights the utility of single-port laparoscopic surgery in the accurate diagnosis and early treatment of intraperitoneal malignancies.

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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
559
审稿时长
11 weeks
期刊最新文献
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