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机构地区:[1]大连医科大学附属妇产医院暨大连市妇幼保健院妇科,116033
出 处:《妇产与遗传(电子版)》2018年第3期52-55,共4页Obstetrics-Gynecology and Genetics (Electronic Edition)
摘 要:妊娠合并附件区恶性肿瘤以卵巢癌常见,合并输卵管癌极为罕见,其诊疗复杂,有较多因素影响预后。一方面诊断困难,肿瘤一般无明显的临床症状,相关辅助检查受到妊娠期限制使得疾病延误诊断,预后差;另一方面治疗也难,疾病的治疗需要考虑母婴、疾病及妊娠结局三方面因素,临床上最佳的母亲治疗方案与胎儿预后之间一直存在冲突。本文将探讨妊娠合并附件区恶性肿瘤的诊疗经验,以明确疾病的临床特征及诊疗对策,提高临床医师的警惕性,使疾病早发现、早诊断、早治疗,提高母婴预后。Pregnancy with ovarian cancer is the most common type of pregnancy complicated with uterine adnexa malignant tumors,while fallopian tube cancer is extremely rare.The diagnosis and treatment of pregnancy complicated with malignant tumors are complex,because there are many factors affect its prognosis.On the one hand,it is difficult to diagnose,tumors generally have no obvious clinical symptoms,auxiliary examination is limited by pregnancy,which leads the delayed treatment and poor prognosis.On the other hand,its treatment is difficult,the treatment of pregnancy complicated with malignant tumors requires the consideration of three factors:maternal and child,disease,and pregnancy outcomes.There is always a conflict between the most appropriate maternal treatment plan and the fetal outcome.This article will explore the experience of diagnosis and treatment of pregnancy complicated with uterine adnexa malignant tumors,in order to clarify the clinical characteristics,diagnosis and treatment of diseases,to improve the vigilance of clinicians,and make early diagnosis and early treatment of disease is possible,and improves maternal and child prognosis.
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