大同市肿瘤医院子宫内膜异位症推荐专家

简介:

大同市肿瘤医院子宫内膜异位症（endometriosis）是指有活性的内膜细胞种植在子宫内膜以外的位置而形成的一种女性常见妇科疾病。内膜细胞本该生长在子宫腔内,但由于子宫腔通过输卵管与盆腔相通,因此使得内膜细胞可经由输卵管进入盆腔异位生长。，子宫内膜种植,免疫防御功能缺陷,遗传与体质的因素,内分泌功能失调，盆腔，子宫内膜异位症的治疗方案,因病情的轻重,患者的年龄和生育情况而有所不同。如病情较重,或表现为重的痛经,或盆腔检查发现有肯定的内膜异位结节,就必须采取药物或手术治疗，卵巢恶性肿瘤、盆腔炎性肿块和子宫腺肌病，尽量少吃含有雌激素的食物,如大豆、洋葱、黑米、小麦等，B型超声检查,腹腔镜检查,实验室检查，。

true 李春华主任医师

三级其他大同市肿瘤医院

好评率：- 接诊量：10 平均响应：2小时

从事妇产科临床工作30余年，擅长妇科肿瘤如：宫颈癌、宫颈癌前病变、子宫内膜癌、卵巢癌、外阴癌、子宫肌瘤、卵巢囊肿，子宫脱垂，张力性尿失禁、异常子宫出血、子宫内膜息肉等疾病的诊断及治疗。＜

true 武冬副主任医师

三级其他大同市肿瘤医院

好评率：- 接诊量：- 平均响应：-

癫痫、睡眠障碍、脑血管病、周围神经病等。

true 王丽春副主任医师

三级其他大同市肿瘤医院

好评率：- 接诊量：- 平均响应：-

擅长肺癌、乳腺癌的治疗

true 武美丽主任医师

三级其他大同市肿瘤医院

好评率：100% 接诊量：2 平均响应：-

从事内科专业33年，内分泌专业25年余，擅长糖尿病及其并发症、甲状腺疾病、高血压病、高尿酸血症、高脂血症等各种内分泌疾病及代谢性疾病的诊治，同时对慢性阻塞性肺疾病、支气管哮喘、肺部感染等呼吸系统疾病也积累了丰富的经验。

true 宋颖颖主治医师

三级其他大同市肿瘤医院

好评率：100% 接诊量：6 平均响应：-

高血压，糖尿病，甲状腺疾病，骨质疏松症等内分泌代谢疾病

true 贾国平主治医师

三级其他大同市肿瘤医院

好评率：- 接诊量：- 平均响应：-

乳腺癌、肺癌的预防、综合治疗。消化道肿瘤的多学科会诊治疗。

true 杨柯主治医师

三级其他大同市肿瘤医院

好评率：100% 接诊量：223 平均响应：-

擅长于普通内科（消化、呼吸、心血管、神经内科、内分泌等系统）常见病、慢性病的临床诊断与治疗，对患者整体急、慢性病的管理把控严格，临床经验丰富，深受患者及家属好评

true 赵庆文主任医师

三级其他大同市肿瘤医院

好评率：- 接诊量：- 平均响应：-

待完善

false 宋晓文主任医师

二级甲等大同市第二人民医院

好评率：- 接诊量：- 平均响应：-

恶性肿瘤的放化疗和靶向、免疫治疗

接诊医生：

2024-09-18 16:20:07

科普文章

子宫内膜异位症的类型与卵巢癌风险

以下内容来源于pubmed。

Endometriosis Typology and Ovarian Cancer Risk

Abstract

Importance: Endometriosis has been associated with an increased risk of ovarian cancer; however, the associations between endometriosis subtypes and ovarian cancer histotypes have not been well-described.

Objective: To evaluate the associations of endometriosis subtypes with incidence of ovarian cancer, both overall and by histotype.

Design, setting, and participants: Population-based cohort study using data from the Utah Population Database. The cohort was assembled by matching 78 893 women with endometriosis in a 1:5 ratio to women without endometriosis.

Exposures: Endometriosis cases were identified via electronic health records and categorized as superficial endometriosis, ovarian endometriomas, deep infiltrating endometriosis, or other.

Main outcomes and measures: Estimated adjusted hazard ratios (aHRs), adjusted risk differences (aRDs) per 10 000 women, and 95% CIs for overall ovarian cancer, type I ovarian cancer, and type II ovarian cancer comparing women with each type of endometriosis with women without endometriosis. Models accounted for sociodemographic factors, reproductive history, and past gynecologic operations.

Results: In this Utah-based cohort, the mean (SD) age at first endometriosis diagnosis was 36 (10) years. There were 597 women with ovarian cancer. Ovarian cancer risk was higher among women with endometriosis compared with women without endometriosis (aHR, 4.20 [95% CI, 3.59-4.91]; aRD, 9.90 [95% CI, 7.22-12.57]), and risk of type I ovarian cancer was especially high (aHR, 7.48 [95% CI, 5.80-9.65]; aRD, 7.53 [95% CI, 5.46-9.61]). Ovarian cancer risk was highest in women with deep infiltrating endometriosis and/or ovarian endometriomas for all ovarian cancers (aHR, 9.66 [95% CI, 7.77-12.00]; aRD, 26.71 [95% CI, 20.01-33.41]), type I ovarian cancer (aHR, 18.96 [95% CI, 13.78-26.08]; aRD, 19.57 [95% CI, 13.80-25.35]), and type II ovarian cancer (aHR, 3.72 [95% CI, 2.31-5.98]; aRD, 2.42 [95% CI, -0.01 to 4.85]).

Conclusions and relevance: Ovarian cancer risk was markedly increased among women with ovarian endometriomas and/or deep infiltrating endometriosis. This population may benefit from counseling regarding ovarian cancer risk and prevention and could be an important population for targeted screening and prevention studies.