国际妇产科学杂志 ›› 2019, Vol. 46 ›› Issue (2): 161-162.

• 病例报告 • 上一篇    下一篇

卵巢恶性肿瘤合并高血尿淀粉酶一例

杨斌,杨永秀   

  1. 730000 兰州大学第一临床医学院(杨斌);兰州大学第一医院(杨永秀)
  • 收稿日期:2018-12-06 修回日期:2019-01-10 出版日期:2019-04-15 发布日期:2019-04-15
  • 通讯作者: 杨永秀,E-mail:yongxiuyang@163.com E-mail:yongxiuyang@163.com;yangyongxiu2018@163.com

Ovarian Neoplasms with Hyperamylasemia:One Case Report

YANG Bin,YANG Yong-xiu   

  1. The First Clinical Medical College of Lanzhou University,Lanzhou 730000,China(YANG Bin);The First Hospital of Lanzhou University,Lanzhou 730000,China(YANG Yong-xiu)
  • Received:2018-12-06 Revised:2019-01-10 Published:2019-04-15 Online:2019-04-15
  • Contact: YANG Yong-xiu,E-mail:yongxiuyang@163.com E-mail:yongxiuyang@163.com;yangyongxiu2018@163.com

摘要: 卵巢恶性肿瘤合并高血尿淀粉酶发生率低,但临床上容易将其误诊为恶性肿瘤合并急性胰腺炎(AP)。临床上应根据AP的好发人群、影像学检查、典型的病因诱因排除AP,而引起淀粉酶升高的首要原因应考虑恶性肿瘤。现回顾1例卵巢低分化浆液性腺癌合并高血尿淀粉酶并误诊为AP的临床资料,分析高血尿淀粉酶的发病机制和诊断注意事项,加深临床医生对该病的认识,提高诊断和治疗水平。

关键词: 卵巢肿瘤, 淀粉酶类, 高淀粉酶血症, 胰腺炎

Abstract: The incidence of ovarian neoplasms with high hematuria amylase is low, and it is easily misdiagnosed as malignant tumors with acute pancreatitis (AP). Clinically,AP should be excluded according to the population, imaging examination and typical etiology. The primary cause of amylase elevation should be considered by malignant tumor. This article reports a case of ovarian poorly differentiated serous adenocarcinoma with high blood urease amylase and misdiagnosed as AP, to analyze the pathogenesis and diagnostic considerations of high blood urease amylase, so as to deepen the understanding of the disease by clinicians and improve the level of diagnosis and treatment.

Key words: Ovarian neoplasms, Amylases, Hyperamylasemia, Pancreatitis