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首页> 外文期刊>Case Reports in Obstetrics and Gynecology >Concurrent Malignant Solitary Fibrous Tumor Arising from the Omentum and Grade 3 Endometrial Endometrioid Adenocarcinoma of the Uterus withp53Immunoreactivity
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Concurrent Malignant Solitary Fibrous Tumor Arising from the Omentum and Grade 3 Endometrial Endometrioid Adenocarcinoma of the Uterus withp53Immunoreactivity

机译:子宫由大网膜和子宫内膜样子宫内膜样腺样腺癌3级引起的并发恶性孤立性纤维瘤,免疫反应性p53

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A malignant solitary fibrous tumor arising from the omentum is extremely rare. To our knowledge, this is the first case of a malignant solitary fibrous omentum tumor coexisting with uterine corpus cancer. A 62-year-old woman presented to our hospital with vaginal discharge. Endometrioid adenocarcinoma was diagnosed by endometrial curettage. In addition, a solid tumor in front of the uterus was detected following computed tomography and/or magnetic resonance imaging, which was suspected to be a primary (or secondary) malignant tumor arising from the omentum. Hysterectomy, bilateral salpingo-oophorectomy, omentectomy, and lymphadenectomy were performed. A malignant solitary fibrous tumor of the omentum and grade 3 endometrioid adenocarcinoma of the uterus were diagnosed by pathohistological analysis. Interestingly, the tumor cells were immunoreactive forp53. Adjuvant chemotherapy was administered for the uterine corpus cancer and the patient remains healthy 48 months after the surgery. These tumors may have become malignant due to the presence ofp53mutations.
机译:大网膜引起的恶性孤立性纤维性肿瘤极为罕见。据我们所知,这是恶性孤立性纤维性大网膜肿瘤与子宫体癌并存的第一例。一名62岁的妇女因白带出院到我们医院。子宫内膜样腺癌通过子宫内膜刮除诊断。另外,在计算机断层摄影术和/或磁共振成像之后,在子宫前方发现了实体瘤,怀疑是大网膜引起的原发性(或继发性)恶性肿瘤。进行子宫切除术,双侧输卵管卵巢切除术,网膜切除术和淋巴结切除术。通过病理组织学分析诊断为大网膜恶性孤立性纤维性肿瘤和子宫3级子宫内膜样腺癌。有趣的是,肿瘤细胞对p53具有免疫反应性。辅助化疗用于子宫体癌,术后48个月患者保持健康。这些肿瘤可能由于存在p53突变而变得恶性。

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