輸卵管漿液性邊緣惡性腫瘤以附屬器腫塊呈現：病例報告及文獻回顧

Serous Borderline Malignant Tumor of the Fallopian Tube Presented as an Adnexal Mass: A Case Report and Review of the Literature

陳聰富(Tsung-Fu Chen) ； 簡婉儀(Yuen-Yee Kan) ； 林淑敏(Shu-Min Lin) ； 周士程(Shih-Cheng Chou) ； 曾于庭(Yu-Ting Tseng)

《南臺灣醫學雜誌》 10卷1期 (2014/06) Pp. 50-54

https://doi.org/10.6726/MJST.201406_10(1).0006

摘要

輸卵管漿液性邊緣惡性腫瘤很少見，到目前為止只有少數案例報告，也沒有疾病復發或轉移的報告。此疾病常在30~40歲被診斷，而且常在婦科檢查或常規手術中意外發現。而且它們的臨床行為到目前為止仍然所知有限。本病例報告一位22歲女性病人出現下腹痛及經血量過多症狀。經肛診及骨盆腔超音波檢查，診斷為右側附屬器腫塊。她接受腹腔鏡手術並發現右側輸卵管末端有一卵巢旁囊狀腫瘤。囊腫切除並送病理冰凍切片檢查，證實是輸卵管漿液性邊緣惡性腫瘤。因此，這位病人接受腹腔鏡右側輸卵管切除及腹膜沖洗液細胞學檢查。本案例及文獻報告都建議輸卵管切除對輸卵管漿液性邊緣惡性腫瘤的治療是適當的。文獻查證，最長追蹤時間6年，沒有發現疾病復發，預後良好。

關鍵字

漿液性邊緣惡性腫瘤 ； 輸卵管 ； 附屬器腫塊

並列摘要

Serous borderline malignant tumors of the fallopian tube are rare and their clinical behavior is poorly understood. To date, there are only few case reports and no reports in the literature regarding recurrence or metastatic disease. Serous borderline malignant tumors are diagnosed in the third-fourth decade and usually discovered examination or during an elective surgery. We report a case of a 22-year-old patient who presented menorrhagia and prolong low abdominal pain. Digital rectal examination and pelvic ultrasound disclosed right adnexal mass. She received a laparoscopic surgery, a cystic tumor at the end of fallopian tube was found. Cystectomy was performed. The pathologic frozen section examination revealed a serous borderline malignant tumor of the fallopian tube. Subserquently, the patient underwent laparoscopic right salpingectomy and peritoneal washing cytology. The current case and the literature review suggest salpingectomy as the optimal treatment for patients with serous borderline (low malignant potential) tumor of the fallopian tube. According to literature review, no tumor recurrence and good prognosis were noted after longest follow up period (6 years).

並列關鍵字

serous borderline malignant tumor ； fallopian tubem ； adnexal mass