CAJ | 학술논문

子宫内膜癌的临床表现与子宫内膜增生、内膜息肉、子宫肌瘤和子宫腺肌病有相似之处,临床诊治过程中容易造成子宫内膜癌的漏诊,需引起进一步重视.患者因上述良性疾病行子宫切除后,病理检查发现子宫内膜癌,即为子宫切除后确诊的子宫内膜癌,这时的处理需要考虑肿瘤病理特点,淋巴结转移及卵巢转移的危险因素,并结合患者的意愿,根据不同情况选择观察或者不同手术的个体化方案.
자궁내막암적림상표현여자궁내막증생、내막식육、자궁기류화자궁선기병유상사지처,림상진치과정중용역조성자궁내막암적루진,수인기진일보중시.환자인상술량성질병행자궁절제후,병리검사발현자궁내막암,즉위자궁절제후학진적자궁내막암,저시적처리수요고필종류병리특점,림파결전이급란소전이적위험인소,병결합환자적의원,근거불동정황선택관찰혹자불동수술적개체화방안.
The clinical manifestation of endometrial uterine cancers is similar to other gynecological diseases like endometrial hyperplasia,polyps,uterine myoma,and adenomyosis.This similarity may result in missed diagnosis of endometrial cancer,which should be paid wide attention.In these cases,pathological examination reports malignancy of uterine specimen after simple hysterectomy.Personalized treatment,such as observation and reoperation,should be supplemented for these patients,according to the pathological characteristics of the tumor,risk factors of lymphatic and ovarian metastasis and the willingness of patient.