卵巣癌
WordNet
- any malignant tumor derived from epithelial tissue; one of the four major types of cancer
PrepTutorEJDIC
- がん,がん腫
UpToDate Contents
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English Journal
- Coexistence of Graves' disease, papillary thyroid carcinoma and unilateral benign struma ovarii: Case report and review of the literature.
- Anastasilakis AD, Ruggeri RM, Polyzos SA, Makras P, Molyva D, Campennì A, Gkiomisi A, Balaris C, Fotiadis PP, Tuccari G, Papachatzopoulos S.SourceDepartment of Endocrinology, 424 General Military Hospital, Thessaloniki, Greece. Electronic address: anastath@endo.gr.
- Metabolism: clinical and experimental.Metabolism.2013 Jun 24. pii: S0026-0495(13)00155-8. doi: 10.1016/j.metabol.2013.05.013. [Epub ahead of print]
- BACKGROUND: Struma ovarii is a rare cause of hyperthyroidism, while coexistence with Graves' disease has been scarcely reported.PATIENT FINDINGS: We report a patient with Graves' disease and unilateral benign functioning struma ovarii, accompanied by ascites, pleural effusion and elevated cancer ant
- PMID 23806737
- Three cases of struma ovarii underwent laparoscopic surgery with definite preoperative diagnosis.
- Nurliza Binti Md Nor, Kusumoto T, Inoue S, Nakamura K, Seki N, Hongo A, Kodama J, Hiramatsu Y.SourceDepartment of Obstetrics and Gynecology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan.
- Acta medica Okayama.Acta Med Okayama.2013 Jun;67(3):191-5.
- Struma ovarii is a rare neoplasm that accounts for approximately 0.3% of ovarian tumors. Due to its ultrasound morphology, which is quite similar to that of malignant ovarian carcinoma, most struma ovarii cases are open operated with laparotomy rather than laparoscopy. We present 3 cases of struma o
- PMID 23804143
- Tall cell variant of papillary carcinoma arising from strumaovarii: a rare case report.
- Mardi K, Gupta N.SourceDepartment of Pathology, Indira Gandhi Medical College, Shimla, India. kavitamardi@yahoo.com
- Journal of cancer research and therapeutics.J Cancer Res Ther.2013 Jan-Mar;9(1):119-21. doi: 10.4103/0973-1482.110390.
- Struma ovarii is the presence of thyroid tissue as the major cellular component in an ovarian tumour. Papillary carcinoma in strumaovarii is exceptionally rare. A tall cell variant of papillary carcinoma arising from a strumaovarii has not been reported so far. We present a case of a 40-year-old fem
- PMID 23575091
Japanese Journal
- Phase IIclinical study of RP56976 (docetaxel) in patients with carcinoma ovarii or carcinoma colli uteri
- NODA K.
- Can To Kagaku Ryoho (Jpn J Cancer Chemother) 21, 2471-2477, 1994
- NAID 80007895328
- Ovarian metastasis from thyroid carcinoma 12 years after partial thyroidectomy mimicking struma ovarii
Related Links
- This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in ... Malignancy in struma ovarii is a rare form of ovarian germ cell ...
- Abstract: * Struma ovarii is a monodermal variant of ovarian teratoma. Thyroid-type carcinoma arising in struma ovarii is rare. The most common type is papillary carcinoma, followed by typical follicular carcinoma, and the new ...
★リンクテーブル★
[★]
- 英
- ovarian cancer, ovarian carcinoma, cancer of the ovary, ovary cancer
- ラ
- carcinoma ovarii
- 同
- 卵巣がん
- 関
- 産婦人科学、卵巣腫瘍、卵巣腫瘍の腫瘍マーカー
- G9M.164(進行期分類) NGY.237(進行期分類)
組織型
漿液性嚢胞腺癌
- CA125
- 症候：腹水あり(漿液性嚢胞腺癌のみ)
- 手術＋化学療法(タキサン製剤とプラチナム製剤)
- 病理：卵管上皮を模倣するとされる。多房性～充実性。乳頭状増殖。砂粒小体
- 予後：悪い。進行早く、腹腔内播種しやすい。
粘液性嚢胞腺癌
- CEA, CA19-9
- 治療：手術。化学療法無効
- 病理：子宮頚管腺を模倣するとされる。単房性～多房性。胞体中に紫色の粘液貯留。
- 予後：良い。進行遅く転移しにくい。
明細胞腺癌
- リスク：卵巣チョコレート嚢胞
- 治療：手術。化学療法無効
- 病理：妊娠時の子宮内膜を模倣するとされる。充実部と伴う多房性、もしくは単純性嚢胞腫粒。グリコーゲンに富み、染色されず、胞体が透明になる。管状構造、充実構造、乳頭状増殖。ホブネイル細胞が存在。
- [show details]
・予後：治療しなければ予後不良。増殖速度は中等度でリンパ節転移しやすい。
類内膜腺癌
- リスク：卵巣チョコレート嚢胞
- 治療：手術＋化学療法(プラチナム併用化学療法)
- 病理：非妊時の子宮内膜を模倣するとされる。充実性。back to back(間質が消失), cribriform(さらに間質が消失)
・予後：容易。進行遅く、転移も少ない。
転移
転移性卵巣癌
- リンパ行性が多い
- 胃癌、結腸癌、乳癌、子宮体癌。(G9M.158)
治療
- 手術療法：(基本術式)両側付属器摘出術、子宮摘出術、大網摘出術。staingのために腹腔細胞診、腹腔内組織の生検、後腹膜リンパ節郭清もしくは生検を施行。
卵巣癌の種類
- NGY.232
| 名称
|
卵巣癌の中の頻度
|
疫学
|
病理
|
類似性
|
予後
|
卵巣チョコレート嚢胞
との関連
|
| 漿液性腺癌[漿液性嚢胞腺癌]
|
50%
|
平均55歳
|
小型で細胞質に乏しい。樹枝状に分枝。乳頭状腺癌
|
卵巣表皮上皮、卵管上皮細胞
|
比較的良好
|
|
| 粘液性腺癌[粘液性嚢胞腺癌]
|
10-15%
|
平均44歳
|
豊富な粘液をもつ多房構造や15cmを超える巨大腫瘤
|
子宮頸部粘膜上皮
腸上皮に類似
|
抗癌剤感受性低く、進行癌は予後不良
|
|
| 類内膜腺癌
|
10-15%
|
|
|
非妊時子宮内膜に類似
|
|
○
|
| 明細胞腺癌
|
15-20%
|
子宮内膜症合併
|
胞体は明るくグリコーゲンに富む。
|
妊娠子宮内膜に類似
嚢胞乳頭状構造
|
プラチナ感受性悪く予後不良
|
○
|
卵巣癌などの腫瘍マーカー
G9M.162
参考
- 1. 卵巣がん治療ガイドライン2007年版（改訂版）
- http://www.jsgo.gr.jp/guideline/ransou.html