Abstract
患者女,36岁。乳腺癌术后6年,肝脏血管平滑肌脂肪瘤术后5年,发现盆腔占位。行全子宫双附件及盆腔病灶等切除术,病理证实为子宫体高分化内膜样癌伴双侧卵巢小细胞神经内分泌癌,并子宫肌壁间、浆膜外、大网膜、乙状结肠系膜和右下腹膜转移。免疫组织化学显示:子宫内膜样癌突触素阴性;卵巢小细胞癌上皮标志物、突触素、嗜铬粒素A均阳性,INI1、BRG1无缺失,p53突变型模式,乳腺癌标志物均阴性,微卫星稳定,BRCA1/2无突变。外周血基因检测发现患者TP53基因胚系突变。.
MeSH terms
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Carcinoma, Endometrioid* / pathology
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Carcinoma, Neuroendocrine* / pathology
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Carcinoma, Neuroendocrine* / surgery
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Carcinoma, Small Cell* / surgery
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Endometrial Neoplasms* / pathology
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Female
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Humans
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Ovarian Neoplasms* / pathology
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Ovarian Neoplasms* / surgery
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Uterus / pathology