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目的 明确女性生殖器原发恶性肿瘤胸部转移的X线与临床特征是重要的 ,以提高诊断水平。方法 2 0 4例女性生殖器肿瘤患者 ,以手术病理证实为恶性肿瘤 ;手术及化疗前后均摄取X线正、侧位胸片 ,人均 1～ 6次不等 ;并有 30例做过CT扫描 ;48例做CA - 1 2 5及 2 3例做HCG化验检查。全部资料均由 3位以上医师做了回顾性的分析。结果 2 5例以胸水表现的胸腔转移 ,CA - 1 2 5值为 1 2 5 - 3765u/ml(正常值 <35u/ml)不等 ;1 2例滋养细胞肿瘤的肺转移 ,hCG升高为 92～ 2 0 0 0 0 0mIU/ml(正常值 <5mIU/ml) ,其中有 1例绒癌肺转移为正常孕期 38周中 ,hCG值 1 841 0 0mIU/ml。结论 胸腔内胸水转移者以卵巢癌最多 ,滋养细胞恶性肿瘤转移多为肺结节形式 ,不可忽视的是正常妊娠中可发生绒癌肺转移
OBJECTIVE: To clarify the X-ray and clinical features of chest metastasis of primary malignant tumors of female genitalia is important in order to improve the diagnostic level. Methods Twenty-four female genital tumors were proved to be malignant tumors by surgical pathology. Radiographs and lateral chest radiographs were taken before and after operation and chemotherapy, ranging from 1 to 6 times per patient. Thirty patients had CT scan. 48 cases of CA - 125 and 23 cases of HCG test. All data are made by a retrospective analysis of more than 3 physicians. Results The pleural effusion of 25 patients with pleural effusion showed a CA - 125 value ranging from 125 to 3765u / ml (normal value <35u / ml). The lung metastasis of 12 cases of trophoblastic tumor with hCG increased 92 ~ 200 000 ml / ml (normal <5 ml / ml), of which 1 case of choriocarcinoma lung metastasis was 38 weeks of normal pregnancy, hCG value of 184100IU / ml. Conclusions Pleural effusion of pleural effusion with ovarian cancer, nodular metastasis of trophoblastic cells mostly in the form of pulmonary nodules, can not be ignored in normal pregnancy may occur choriocarcinoma lung metastasis