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臨床婦人科産科74巻2号

2020年03月発行

連載 教訓的症例から学ぶ産婦人科診療のピットフォール

子宮内膜細胞診陰性で子宮鏡下切除術後に明らかになった若年子宮体がんの2症例

著者: 橋本奈美子1

所属機関: 1日本生命病院産婦人科

ページ範囲:P.290 - P.296

文献概要

症例1
▶患者

 41歳,G0,157cm,45kg,BMI 18.2.
▶主訴

 月経困難.
▶既往歴

 X−3年2月,腸管内膜症による腸閉塞のため回盲部切除(開腹).

参考文献

1)AAGL Practice Report : Practice guidelines for the diagnosis and management of endometrial polyps. J Minim Invasive Gynecol 19 : 3-10, 2012
2)Lieng M, et al : Prevalence, 1-year regression rate, and clinical significance of asymptomatic endometrial polyps : cross-sectional study. J Minim Invasive Gynecol 16 : 465-471, 2009
3)Uglietti A, et al : The risk of malignancy in uterine polyps : a systematic review and meta-analysis. Eur J Obstet Gynecol Reprod Biol 237 : 48-56, 2019
4)Desai VB, et al : Prevalence, characteristics, and risk factors of occult uterine cancer in presumed benign hysterectomy. Am J Obstet Gynecol 221 : 39.e1-e14, 2019
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12)Triolo O, et al : Hysteroscopic findings of endometrial carcinoma : evaluation of 104 cases. Eur J Gynaecol Oncol 26 : 434-436, 2005
13)Valli E, et al : A new hysteroscopic classification of and nomenclature for endometrial lesions. J Am Assoc Gynecol Laparosc 2 : 279-283, 1995
14)Obermair A, et al : Does hysteroscopy facilitate tumor cell dissemination? Incidence of peritoneal cytology from patients with early stage endometrial carcinoma following dilatation and curettage(D&C)versus hysteroscopy and D&C. Cancer 88 : 139-143, 2000
15)Zerbe MJ, et al : Retrograde seeding of malignant cells during hysteroscopy in presumed early endometrial cancer. Gynecol Oncol 79 : 55-58, 2000
16)Revel A, et al : Does hysteroscopy produce intraperitoneal spread of endometrial cancer cells? Obstet Gynecol Surv 59 : 280-284, 2004
17)Cicinelli E, et al : Risk of long-term pelvic recurrences after fluid minihysteroscopy in women with endometrial carcinoma : a controlled randomized study. Menopause 17 : 511-515, 2010
18)Cutillo G, et al : Endometrial biopsy by means of the hysteroscopic resectoscope for the evaluation of tumor differentiation in endometrial cancer : a pilot study. Eur J Surg Oncol 33 : 907-910, 2007
19)Kadar N, et al : Positive peritoneal cytology is an adverse factor in endometrial carcinoma only if there is other evidence of extrauterine disease. Gynecol Oncol 46 : 145-149, 1992
20)Grimshaw RN, et al : Prognostic value of peritoneal cytology in endometrial carcinoma. Gynecol Oncol 36 : 97-100, 1990

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1294

印刷版ISSN:0386-9865

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