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作者研究了1例卵巢室管膜瘤的雌、孕激素受体(ER、PR)水平,并结合其临床情况予以报道。患者39岁,1982年8月因左卵巢囊肿10cm 伴肉眼可见的大网膜转移经腹行全子宫及左卵巢输卵管切除术和大网膜活检术,诊为卵巢室管膜癌Ⅲ期,术后病人接受12疗程的顺铂和环磷酰胺化疗。患者于1974年曾因右卵巢良性囊性畸胎行右卵巢输卵管切除术。1983年11月行二次剖腹探查术,显微镜下阳性,随后给6疗程的长春新碱、更生霉素、环磷酰胺(VAC)化疗,至1987年1月,一直无临床复发迹象。1984年8月,开始给雌激素替代治疗,1985年11月加用孕激素。1987年1月查体发现阴道顶端肿物4cm,CT 扫描发现在左输尿管附近有3×3.5cm 和2×2.5cm 的腹膜后肿物,同时发现子宫直肠陷窝处6×4.5cm 的肿物,行剖腹探查和二次
The authors studied the estrogen and progesterone receptor (ER, PR) levels in 1 case of ovarian ependymoma and reported their clinical status. Patient 39 years old, in August 1982 due to left ovarian cysts 10cm with macroscopic omentum transabdominal hysterectomy and left ovarian tubal resection and omental biopsy, diagnosed as ovarian ependymoid phase Ⅲ, surgery After the patient received 12 cycles of cisplatin and cyclophosphamide chemotherapy. Patients had right ovarian tubal resection in 1974 due to benign cystic right-ovarian cysts. In November 1983, a second laparotomy was performed under a microscope, followed by 6 courses of vincristine, dactinomycin and cyclophosphamide (VAC) chemotherapy. Until January 1987, there were no signs of clinical recurrence. August 1984, began to give estrogen replacement therapy, November 1985 plus progesterone. 1987 January examination revealed the top of the vagina mass 4cm, CT scan found in the left ureter with 3 × 3.5cm and 2 × 2.5cm of retroperitoneal mass, while the uterus was found in the rectum 6 × 4.5cm tumor , Laparotomy and secondary exploration