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目的:探讨原发性输卵管癌的诊断及鉴别诊断。方法:回顾分析1985年—2002年收治的4例原发性输卵管癌的临床病理资料,并结合文献进行探讨。结果:4例患者术前均误诊,其中诊断为输卵管包块2例,输卵管积液1例,子宫肌瘤伴输卵管积液1例。结论:原发性输卵管癌术前诊断困难,明确诊断大多依赖术后病理,原发性输卵管癌应注意与输卵管上皮良性增生、转移癌、结核性或其他非特异性慢性输卵管炎及输卵管化生性乳头状瘤相鉴别。
Objective: To investigate the diagnosis and differential diagnosis of primary fallopian tube cancer. Methods: The clinicopathological data of 4 patients with primary fallopian tube carcinoma who were treated from 1985 to 2002 were retrospectively analyzed, and the literature was discussed. Results: All 4 patients were misdiagnosed before operation, including 2 cases of tubal mass, 1 case of tubal effusion and 1 case of uterine leiomyoma with tubal effusion. Conclusions: The preoperative diagnosis of primary fallopian tube cancer is difficult and the diagnosis is mostly dependent on the postoperative pathology. The primary fallopian tube cancer should pay attention to the relationship with tubal epithelial benign hyperplasia, metastatic carcinoma, tuberculosis or other nonspecific chronic salpingitis and tubal metaplasia Tumor phase identification.