妊娠合併晚期卵巢癌：病例報告

Pregnancy with Advanced Ovarian Carcinoma-A Case Report

李耀泰(Yiu-Tai Li) ； 許國邦(Kuo-Pang Hsu) ； 杜方超(Fung-Chao Tu) ； 孫立昇(Li-Sheng Sun) ； 徐文成(Man-Shing Tsui) ； 鍾明燈(Ming-Teng Chung)

《Journal of Medical Sciences》 13卷2期 (1992/10) Pp. 143-148

摘要

妊娠中合併卵巢癌乃十分少見，其發生率在12,000至52,800次妊娠中約有一次，且大部份患者在癌症早期和妊娠早期時便被發現，其預後一般良好。在此，我們報告一妊娠36週患者，因無法忍受肛門疼痛而要求剖腹生產，卻意外發現有合併晚期卵巢癌，電腦斷層攝影可見在肝臟內有三塊病灶，於是在電腦斷層攝影指引下，行肝臟針抽切片，病理證明為轉移性腺癌，手術後兩天，患者血漿中之CEA和CA125仍然很高，雖然以高劑量cisplatin為主之結合化學藥物治療，但兩個月後，患者仍因疾病繼續進行而死亡。

關鍵字

妊娠 ； 卵巢癌

並列摘要

The incidence of ovarian malignancy associated with pregnancy is very rare, with reported coexistence varying from one in every 12,000 to 52,800 pregnancies. Furthermore, most cases are found at early stages of disease and early pregnancies when the prognosis is good. We herein present a case of 36 weeks' gestation with advanced ovarian carcinoma incidentally found during cesarean section for intolerable anal pain. A CT scan demonstrates three lesions in the parenchyma of liver. The liver needle biopsy by CT scan guidance has allowed the document of metastatic adenocarcinoma. Two days after operation, elevation of the patient's plasma levels of CEA and CA125 also were found. Although high dosage of cisplatin-based combination chemotherapy was administered, the patient still died of progressive disease in 2 months later.

並列關鍵字

Pregnancy ； Ovarian cancer