- 期刊
與卵巢癌相似的紗布遺留
Retained Surgical Sponges Mimicking Ovarian Cancer
摘要
當患者產生臨床上各種不適症狀，且曾接受過手術，而骨盆腔又發現腫瘤，懷疑有卵巢惡性腫瘤時，必須與紗布遺留作一鑑別診斷。如影像檢查有橢圓形腫瘤、腫瘤壁清晰且厚或有鈣化、腫瘤壁內緣有鋸齒狀突出、腫瘤內有螺旋狀或波浪似的影像或充滿海綿狀氣泡，超音波下有音響迴波等，腫瘤指數如CA125等正常或微增，則可能是紗布瘤(gossypiboma)。應做詳盡的檢查，以避免醫療糾紛的發生。
並列摘要
Retained sponges should be considered in the differential diagnosis of any postoperative patient who presents with pain, infection, or palpable mass. The ultrasound features of abdominal gossypiboma revealed a well-defined cystic mass containing distinct internal hyperechoic, wavy, striped structure with a strong acoustic shadow. If a patient has a history of a previous operation, the possibility of retained sponges should be suggested when control whorled stripes, or a serrated contour in the inner border of the peripheral wall is present at MRI. The medicolegal consequences of retained sponges are significant. Patients may be inadvertently informed that masses might be malignant and may undergo unnecessarily investigations such as PET and unnecessarily radical extirpative surgery.
延伸閱讀
- 李耀泰、陳福民、沈仁達、郭宗正（2012）。卵巢癌的橫隔膜減積術。中華民國婦癌醫學雜誌，(2012年1)，55-64。https://doi.org/10.7010/JGO.201201.0055
- Huang, H. N. (2015). 卵巢透亮細胞癌之分子病理研究 [master's thesis, National Taiwan University]. Airiti Library. https://doi.org/10.6342/NTU.2015.01923
- Tang, C. E., Cheng, K. C., Ou, Y. C., Chen, H. H., Hu, W. H., & Lee, K. C. (2021). 同時性大腸直腸癌卵巢轉移臨床表現及術後存活分析. 中華民國大腸直腸外科醫學會雜誌, 32(1), 27-32. https://doi.org/10.6312/SCRSTW.202103_32(1).10922
- Chen, J. D., Wang, J. H., & Chang, T. (1993). 女性生殖器結核病擬似卵巢癌：病例報告. 中華放射線醫學雜誌, 18(1), 71-75. https://www.airitilibrary.com/Article/Detail?DocID=10188940-199303-18-1-71-75-a
- 李耀泰、陳福民、鄭文雄、郭宗正（2007）。Oral Chemotherapeutic Agents for Ovarian Cancer。中華民國婦癌醫學雜誌，(2007年1)，33-39。https://doi.org/10.7010/JGO.200704.0033