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子宫内膜癌合并重度肥胖及代谢综合征(met-abolic syndrome,MS)少见,治疗相对棘手。现报道1例子宫内膜癌合并重度肥胖[体重指数(BMI)65.1]代谢综合征病例,采用腹腔镜Roux-en-Y胃旁路术+胆囊切除术+全子宫切除+双侧附件切除术,行减重手术同时行子宫内膜癌手术。手术顺利,术后诊断为子宫内膜高分化腺癌ⅠA期,术后随访18个月无癌复发,体重减轻64.5 kg,约占术前体重41.7%,减肥成功。现报道如下。
Endometrial cancer combined with severe obesity and metabolic syndrome (met-abolic syndrome, MS) rare, the treatment is relatively difficult. We now report a case of endometrial cancer with severe obesity [body mass index (BMI 65.1] Metabolic syndrome cases, the use of laparoscopic Roux-en-Y gastric bypass + cholecystectomy + hysterectomy + bilateral accessory resection , Line weight loss surgery while performing endometrial cancer surgery. The operation was successful and postoperative diagnosis was stage ⅠA of endometrial adenocarcinoma. No recurrence was found after 18 months of follow-up. The weight loss was 64.5 kg, accounting for 41.7% of the preoperative weight, and the weight loss was successful. Report as follows now.