子宫内膜癌淋巴结转移的1例病理误诊分析

Analysis of a Case of Pathological Misdiagnosis in Uterine Endometrial Cancer with Lymph Node Metastasis

摘要: 子宫内膜癌是一种妇科的恶性肿瘤，严重威胁着女性健康，淋巴结转移是其主要转移方式之一。本文分享了一例被误诊为肺癌锁骨上淋巴结转移的子宫内膜癌病例，探讨了误诊原因并提出了相应应对措施。病例的误诊可能源自多因素：临床症状与影像学表现误导诊断、病理医生对患者病史了解不足、未核对病理学报告等。明确肿瘤来源的重要性在于不同来源可能影响治疗和预后。建议医生在诊断中充分了解病史、加强对肿瘤特征的观察，并综合应用多个免疫组化标记物，以提高诊断准确性。这些措施可帮助避免类似误诊，为患者提供更准确的治疗方案和更好的生存预后。

Abstract: Uterine endometrial cancer, a gynecological malignancy, poses a significant threat to women’s health, with lymph node metastasis being one of its primary modes of spread. This paper presents a case where uterine endometrial cancer, misdiagnosed as pulmonary cancer with clavicular lymph node metastasis, is discussed in terms of the reasons for misdiagnosis and proposed strategies to address it. Several factors contributed to the misdiagnosis: misleading clinical symptoms and im-aging, inadequate understanding of the patient’s medical history by the pathologist, and failure to cross-check pathological reports. The crucial importance of determining the tumor’s origin lies in the fact that distinct origins can impact treatment and prognosis. It is recommended that physi-cians thoroughly comprehend the patient’s medical history, enhance their observation of tumor characteristics, and employ multiple immunohistochemical markers to enhance diagnostic accura-cy. Implementing these measures can prevent similar misdiagnoses, offering patients more precise treatment options and better prognosis.