腹壁内膜异位症的恶性病变:有没有办法避免它? 一个系统的审查
Julie Alaert1, Mathilde Lancelle2, Marie Timmermans3
1Department of Obstetrics and Gynecology, Centre Hospitalier Universitaire Brugmann, Université Libre de Bruxelles, 1050 Brussels, Belgium.
恶性关腹壁子宫内膜异位症 (AWE) 是一种罕见的疾病,通常呈现为可触摸的质量. 早期检测和手术切除至关重要,但预后仍然很差,复发率高.
科学领域:
- 妇科瘤学 妇科瘤学
- 手术病理学手术病理学
背景情况:
- 恶性关腹壁子宫内膜异位症 (AWE) 是一种罕见的病理,发生在约1%的痕子宫内膜异位症病例中.
- 这种情况代表了子宫内膜异位症在腹壁痕中潜在的恶性转变.
研究的目的:
- 更新AWE引起的瘤退化的证据.
- 确定AWE患者的临床特征,治疗选择和结果.
主要方法:
- 对文献进行了全面的系统审查.
- 搜索的数据库包括PubMed,Embase和科克兰图书馆.
- 研究注册:普罗斯佩罗 (身份证号:CRD42024505274).
主要成果:
- 包括来自63项研究的73名患者.
- 常见的症状包括可触摸的腹部质量 (85.2%) 和周期性盆腔疼痛 (60.6%).
- 恶性转变发生在手术后平均20年,清细胞和子宫内膜体亚型是最常见的. 预后很差,5年生存率为~40%和高复发率.
结论:
- 腹壁内膜植入物是妇科手术的可预防并发症.
- 有剖腹产或子宫手术史的女性需要特别注意潜在的AWE发展.
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