Tumors of female reproductive systemTumors of female reproductive systemОпухоли женской репродуктивной системы1994-40981999-8627Publishing House ABV Press51210.17650/1994-4098-2016-12-3-80-86GYNECOLOGY. CLINICAL OBSERVATIONSГИНЕКОЛОГИЯ. КЛИНИЧЕСКИЕ НАБЛЮДЕНИЯProblems of diagnostics and treatment of uterine tube cancer (clinical case)Проблемы диагностики и лечения рака маточной трубы (клинический случай)LevchenkoN. E.ЛевченкоН. Е.
Russian Federation

23 Kashirskoe Shosse, Moscow, 115478,

115478, Москва, Каширское шоссе, 23

levch.1975@mail.ruMushtenkoS. V.МуштенкоС. В.
Russian Federation

23 Kashirskoe Shosse, Moscow, 115478,

115478, Москва, Каширское шоссе, 23

SavostikovaM. V.СавостиковаМ. В.
Russian Federation

23 Kashirskoe Shosse, Moscow, 115478,

115478, Москва, Каширское шоссе, 23

ZakharovaT. I.ЗахароваТ. И.
Russian Federation

23 Kashirskoe Shosse, Moscow, 115478,

115478, Москва, Каширское шоссе, 23

N.N. Blokhin Russian Cancer Research Center, Ministry of Health of RussiaФГБУ «РОНЦ им. Н.Н. Блохина» Минздрава России2411201612380862411201624112016https://ojrs.abvpress.ru/ojrs/article/view/512

The clinical case of seldom found pathology – primary cancer of the uterine tube including at the same time both epithelial and sarcomatous component of a tumor is described. Data on a cancer of a uterine tube which, being a rare tumor are submitted, is morphologically similar to an ovary carcinoma. Predictively significant factors for this tumor are the disease stage, volume of residual tumoral masses, SA-125 indicators, and also as those the vascular invasion, degree of a differentiation of a tumor and age of patients are considered. On the basis of our supervision and clinical experience we came to a conclusion that this clinical case emphasizes not specificity of a current and complexity of timely diagnosis of a disease. Thus, an actual task is research of this problem for the purpose of improvement of quality of early diagnosis of primary cancer of uterine tube and use of new modern methods of treatment.

Клиническое наблюдение редкой первичной эпителиально-мезенхимальной злокачественной опухоли маточной трубы и трудности ее дооперационной диагностики и последующего лечения легли в основу представленной статьи. Сопоставление собственных данных с международным опытом показало, что прогностически значимыми факторами для таких пациенток будут являться: возраст, стадия заболевания, объем остаточных опухолевых масс, уровень СА-125, степень сосудистой инвазии и дифференцировки эпителиального компонента. Проведенный анализ демонстрирует сложность ранней диагностики злокачественных новообразований маточных труб и непредсказуемость роста опухолей смешанного типа. В связи с этим мы считаем, что разбор особенностей редких морфологических форм опухолей является актуальным для расширения клинического опыта врачей.

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