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库肯勃格瘤(Krukenburg tumor)是最常见的转移性卵巢恶性肿瘤,以胃为最常见的原发部位,其次是直肠、阑尾等,空肠、胆囊、胰腺等其他来源相对少见。库肯勃格瘤常因卵巢肿瘤首先被发现,而胃肠道症状不明显,因为不能及时发现原发病灶,临床不多见,易漏诊、误诊,所以预后极差。本文报道一例以月经量减少为主要症状的育龄期女性,实验室检查发现睾酮明显升高,阴道超声提示双侧卵巢增大、髓质回声减低,为除外肾上腺疾病行肾上腺计算机断层扫描(CT)检查时无意间发现胃壁增厚,进而行胃肠镜检查活检提示胃低分化腺癌,可见印戒细胞,进而确诊为库肯勃格瘤,切除肿瘤后睾酮降至正常水平。分享此病例旨在拓宽对高雄激素血症的鉴别思路和库肯勃格瘤的全面认识。
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基本信息:
中图分类号:R737.31
引用信息:
[1]郭伟,付子洁,李晓冬.因雄激素升高发现卵巢库肯勃格瘤1例及文献学习[J].生殖医学杂志,2024,33(04):512-516.
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