年轻妇女子宫内膜癌的误、漏诊原因分析及早期诊断  

Analysis on missed and misdiagnosis of young women′s endometrial carcinoma

作　　者：邵玉龙[1] 陈鸣之[2] 

机构地区：[1]上海市普陀区中心医院,上海200062 [2]上海医科大学肿瘤医院

出　　处：《中国肿瘤临床与康复》2001年第5期72-73,共2页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的　对年轻妇女子宫内膜癌的误诊、漏诊原因进行分析以期提高早期诊断确诊率。方法　对 1980年～1997年间临床误诊、漏诊的 18例年轻妇女子宫内膜癌进行回顾性分析。结果　 18例误、漏诊患者占同期年轻妇女子宫内膜癌患者的 67% ,误、漏诊疾病为 :功能失调性子宫出血病、原发性不孕、继发性不孕、卵巢癌、肠癌、子宫肌瘤、上节育环后子宫出血等。结论　反复月经失调、不育者并且卵巢增大的年轻妇女应警惕子宫内膜癌的可能性。年轻妇女在患子宫内膜癌的同时有患第二原发癌的可能性 ,特别是有癌瘤家族史者。年轻妇女子宫内膜癌多数分化较好在病理上与复杂性子宫内膜增生过长 ,腺瘤样增生 ,重度不典型增生很难区分 ,必须特别注意。Objective To analyse the causes of missed and misdiagnosis of young women′s endometrial carcinoma.Methods Retrospective study of 18 cases on missed and misdiagnosis of young women′s endometrial carcinoma during 1980 to 1997 was carried out.Results These 18 patients accounting for 67% of the total patients with endometrial carcinoma were misdiagnosed to be dysfunctional uterine bleeding?original infertility?secondary infertility?carcinoma of ovary?intestinal carcinoma?myoma of uterus?uterine bleeding after intrauterine device(IUD)and so on.Conclusion Young women with repeatedly dysfunctional uterine bleeding and infertility complicated with enlarged cvarian should be on guard against possible endometrial carcinoma.Those who have contracted such disease might suffer a second primary cancer, especially those with family history.The well differentiated endometrial carcinoma has little difference from adenomatous,hyperplasis of endometrium and highly atypical hyperplasia,so sepcial attention should be paid.

关 键 词：年轻子宫内膜癌 误诊 漏诊 诊断 

分 类 号：R737.33[医药卫生—肿瘤]