BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

其他诊断因素

  • 子宫包块、宫体固定或附件区包块均提示宫外转移。
  • 绝经前女性月经异常或异常阴道出血
  • 疼痛及体重减轻
  • 转移症状

危险因素

  • 肥胖
  • 年龄>50 岁
  • 内膜增生
  • 无拮抗的内源性雌激素刺激

诊断性检查

首要检查

  • (经阴道)盆腔超声
  • 内膜活检及组织病理学检查
  • 宫腔镜,诊刮术及组织病理学检查
  • 宫颈刮片
全部具体信息

需要考虑的检查

  • 血清CA125水平
  • 盐水灌注子宫超声造影
  • 尿素及肌酐(肾功能检查)
  • 肝功能检查
全部具体信息

治疗流程

贡献者

Alexander B. Olawaiye MD, MRCOG, FACOG, FACS

Associate Professor

Division of Gynecologic Oncology

Department of Obstetrics, Gynecology, and Reproductive Sciences

Magee-Womens Hospital of UPMC

University of Pittsburgh School of Medicine

Pittsburgh

PA

利益冲突披露
ABO declares that he has no competing interests.
Richard T. Penson MD, MRCP

Clinical Director

Medical Gynecologic Oncology

Division of Hematology Oncology

Massachusetts General Hospital

Boston

MA

利益冲突披露
RTP declares that he is on the scientific advisory boards of: Genentech, Inc., AstraZeneca, Endocyte, Inc., Eisai Inc., Vascular Biogenics Ltd, Baxalta Oncology, AbbVie, and Clovis Oncology. RTP receives research funding from: Genentech, Inc., ImClone Systems, Inc., Endocyte, Inc., AstraZeneca., Eisai Inc., Amgen Inc., and Vascular Biogenics Ltd. RTP was an expert witness for Aventis Pharma S.A. Vs. Apotex Inc in 2009. RTP has received royalties from: BMJ, Blackwell Publishing Medicine at a glance, and UpToDate Advance Medical: Second Medical Opinion.
Larissa J. Lee MD

Assistant Professor

Department of Radiation Oncology

Brigham and Women’s Hospital/Dana-Farber Cancer Institute

Boston

MA

利益冲突披露
LJL declares that she has no competing interests.

Dr Alexander B. Olawaiye, Dr Richard T. Penson, and Dr Larissa J. Lee would like to gratefully acknowledge Dr Neil S. Horowitz and Dr Anthony H. Russell, previous contributors to this monograph. NSH and AHR declare that they have no competing interests.

同行评议专家 查看所有

Associate Professor/Chief

Gynecologic Oncology

S/M Obstetrics & Gynecology (UCD)

University of Colorado Health Sciences Center

Aurora

CO

利益冲突披露
SAD declares that she has no competing interests.

Attending Radiologist

Assistant Professor of Radiology

Memorial Sloan-Kettering Cancer Center

New York

NY

利益冲突披露
SM declares that she has no competing interests.

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