苗勒氏管囊肿蒂扭转并发膀胱癌1例  

A case of Mullerian duct cyst torsion combined with bladder cancer

作　　者：朱方培 任青玲[2] 

机构地区：[1]南京中医药大学第一临床医学院,南京210046 [2]江苏省中医院妇科,南京210029

出　　处：《中南大学学报（医学版）》2016年第6期653-656,共4页Journal of Central South University ：Medical Science

摘　　要：回顾分析江苏省中医院收治的1例苗勒氏管囊肿蒂扭转并发膀胱癌患者的诊治过程,患者在全麻下行"经腹右侧附件切除+盆腔粘连松解+膀胱镜检术",术后病理诊断为苗勒氏管源性囊肿、(膀胱)乳头状尿路上皮癌,低级别。术后予进一步化疗,后期随访患者各项指标均正常,未诉明显不适。B超、CT及MRI均可发现苗勒氏管囊性包块,确诊需依据组织病理学检查,囊肿多为良性,手术切除安全有效。The diagnosis and treatment of a patient with MuUerian duct cyst torsion combined with bladder cancer were retrospectively analyzed. The patient received an open abdominal operation with right accessory resection plus pelvic adhesion release, and conducted microscopic examination for the bladder under general anesthesia. The results of histopathological examination confirmed the diagnosis of Mullerian duct cyst and papillary urothelial carcinoma at low level. After surgery the patient received chemotherapy and follow-up observation, and all the indices for the patient were normal and no obvious discomfort. Although the final diagnosis of Mullerian duct cysts is based on histopathological examination, ultrasonography, CT scan and MRI can also detect it. Most of the Mullerian duct cysts are benign, and surgical excision is safe and effective.

关 键 词：苗勒氏管囊肿 膀胱癌 诊断 治疗 

分 类 号：R737.14[医药卫生—肿瘤] R713[医药卫生—临床医学]