原发性输卵管癌49例临床分析

目的:分析原发性输卵管癌的误诊原因。方法:对我院1994年1月~2004年12月收治的49例原发性输卵管癌临床资料进行回顾性分析。结果:49例中,我院首诊45例,误诊42例,误诊率93.3%;外院转入4例,误诊3例。多误诊为卵巢肿瘤、子宫内膜癌、盆腔肿瘤、附件囊肿、子宫肉瘤等。结论:原发性输卵管癌较少见,缺乏特异性的临床表现和诊断措施,误诊率高。临床医师应提高对原发性输卵管癌的认识,以降低误诊率。

Primary Fallopian Tube Carcinoma: Clinical Analysis of 49 Cases

Objective:To analyze the cause for misdiagnosis of primary fallopian tube carcinoma(PFTC).Methods:Forty-nine patients with PFTC hospitalized from January,1994 to December,2004 were retrospectively analyzed.Results:Of these 49 patients,forty-five were diagnosed for the first time at our hospital,and 42 got misdiagnosed preoperatively,accounting for 93-3%.Four patients were referred from outside and 3 of them were wrongly diagnosed.The misdiagnosis mainly included:ovarian tumors,endometrial carcinoma,pelvic tumors,adnexal cyst and sarcoma of uterus.Conclusions:Preoperative diagnosis of primary fallopian tube carcinoma is difficult due to the rarity of the disease,lacking of specific manifestations and diagnostic ways.Much attention should be paid to PFTC in clinical practice in order to reduce the rate of misdiagnosis.