上皮样滋养细胞肿瘤的诊治

杜江悦,吕卫国

中国实用妇科与产科杂志 ›› 2017, Vol. 33 ›› Issue (4) : 350-353.

中国实用妇科与产科杂志 ›› 2017, Vol. 33 ›› Issue (4) : 350-353. DOI: 10.19538/j.fk2017040106
专题笔谈

上皮样滋养细胞肿瘤的诊治

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Diagnosis and treatment of epithelioid trophoblastic tumor

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摘要

上皮样滋养细胞肿瘤(epithelioid trophoblastic tumor,ETT)起源于绒毛膜型中间型滋养细胞,非常罕见,生育期年龄妇女多见,常继发于足月妊娠,临床表现与胎盘部位滋养细胞肿瘤(placental site trophoblastic tumor,PSTT)相似,约70%出现阴道流血,血hCG水平中度升高。手术是ETT主要的治疗手段,化疗效果目前仍存在争议。无转移者预后良好,但一旦转移预后极差。

Abstract

Epithelioid trophoblastic tumor(ETT)is a rare tumor which originates from the chorionic intermediate trophoblast.It occurs mostly in women of childbearing age,especially after full-term pregnancy.The clinical manifestation of ETT is similar to that of placental site trophoblastic tumor(PSTT).About 70% of ETT patients have the complaint of vaginal bleeding,and moderate up-regulation of serum human chorionic gonadotropin (hCG) levels is widely found.Surgery is the preferred option for the treatment of ETT,and the effect of chemotherapy remains controversial.Patients without metastasis have a favourable prognosis,but metastasis comes with a very poor prognosis.

关键词

妊娠滋养细胞肿瘤 / 上皮样滋养细胞肿瘤 / 中间型滋养细胞

Key words

gestational trophoblastic neoplasm / epithelioid trophoblastic tumor / intermediate trophoblast

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杜江悦,吕卫国. 上皮样滋养细胞肿瘤的诊治[J]. 中国实用妇科与产科杂志. 2017, 33(4): 350-353 https://doi.org/10.19538/j.fk2017040106
DU Jiang-yue,LYU Wei-guo. Diagnosis and treatment of epithelioid trophoblastic tumor[J]. Chinese Journal of Practical Gynecology and Obstetrics. 2017, 33(4): 350-353 https://doi.org/10.19538/j.fk2017040106
中图分类号: R737.3   

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