清宫后宫颈部凶险型侵袭性葡萄胎1例并文献复习  

Homicide type invasive hydatidiform mole in uterine neck after curettage:a case report and literature review

作　　者：赵帅 李理想 郭君武[1] ZHAO Shuai;LI Lixiang;GUO Junwu(The Second Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan Province,450000;Henan Cancer Hospital)

机构地区：[1]郑州大学第二附属医院,450014 [2]河南省肿瘤医院

出　　处：《中国计划生育学杂志》2021年第4期849-850,854,共3页Chinese Journal of Family Planning

摘　　要：葡萄胎是恶性妊娠滋养细胞肿瘤的癌前病变,易发展成恶性妊娠滋养细胞肿瘤。宫颈侵蚀性葡萄胎罕见发生,人们对其临床认识较少,极易并发出血危及生命。本文对本院收治的1例清宫后宫颈部凶险型侵袭性葡萄胎病例进行临床诊断、治疗、随访及转归情况分析,结合相关文献进行讨论。认为:侵袭性葡萄胎病情复杂,有些病情进展快,需到综合医院积极就诊。不止药物化疗、手术后的化疗,随着放射技术的进步,动脉插管化疗、栓塞等方法将在妊娠滋养细胞疾病治疗中发挥重要作用。Hydatidiform moles are premalignant lesions of malignant gestational trophoblastic neoplasia.Hydatidiform moles tend to develop into malignant gestational trophoblastic tumors.Cervical aggressive hydatidiform mole is rare disease and its clinical understanding is less,which is very easy to be complicated with profuse bleeding to life-threatening.In this paper,the clinical diagnosis,treatment,following up,and prognosis of one woman with aggressive hydatidiform mole in uterine neck after curettage was analyzed.And combination with relevant literature,it is suggested that invasive hydatidiform mole is complicated with progress quickly,so it is necessary to seek medical treatment in general hospital.Besides chemotherapy only or postoperative chemotherapy,with the progress of radiation technology,arterial intubation chemotherapy,embolization and other methods will play a vital role for treating gestational trophoblastic diseases.

关 键 词：宫颈侵袭性葡萄胎 滋养细胞肿瘤 介入治疗 

分 类 号：R737.33[医药卫生—肿瘤]