Abdominal incision cancerous lesions of endometriosis in 1 case.docVIP

 PAGE \* MERGEFORMAT 9 Abdominal incision cancerous lesions of endometriosis in 1 case [Keywords:] endometrium; cancer A medical record Female patients, aged 41, outside the hospital in 1991, cesarean section. 6 months after abdominal cesarean section found at a mass 5 cm in diameter, with increased menstrual pain of mass, was not due to attention .2004 December “menstrual disorder 3 months” in our hospital. examination showed abdominal incision for a 8 cm × 5 cm × 5 cm mass, texture medium, ill, poor activity. gynecological examination no obvious abnormalities. auxiliary examination ultrasound showed hypoechoic irregular upper left abdominal incision occupying 89 mm × 46 mm × 49 mm, ectopic foci of consolidation machine possible, no abnormal uterine double attachment. on April 5th abdominal incision to be diagnosed as endometrial ectopic foci admitted to hospital. refine the examination after admission, in April 6, 2005 abdominal transverse incision line endometriosis lesion resection, intraoperative see the fat layer beneath the fascia has a mass 10 cm in diameter , issued the top of the pubic symphysis, and dense adhesions and bladder corner, up from the incision up to 5 ~ 6 cm. biopsy frozen pathology results sent to display: (ectopic foci) adenocarcinoma, (fascia) adenocarcinoma. into the abdominal exploration Annex no abnormal double uterus, two ovaries, as no abnormal profile, to the abdominal wall excision, home patch the defect in the fascia, parallel diagnostic curettage. Postoperative chemotherapy for TP (Taxotere 120 mg the first day of intravenous drip Note, the next day intravenous infusion of carboplatin 600 mg.) pathological results are shown: clear cell carcinoma (abdominal ectopic tumors), clear cell carcinoma (fascia), endometrial hyperplasia showed a response. postoperative recovery was good, in discharged April 19 to 12 .5 a second chemotherapy in our hospital. measuring blood CA125 19.04 ku / L, CA199 8.81 ku / L. TP program to th