ﺧﻴﻢ ﻣﻮﻟﺘﻲ ﺳﻴﺴﺘﻴﻚ داﺧﻞ ﺷﻜﻤﻲ ﮔﺰارش ﻳﻚ ﻣﻮرد ﻣﺰوﺗﻠﻴﻮﻣﺎي

(1)

* ﺝ

نﺎﺘﺳرﺎﻤﻴﺑ ،ﻲﺘﺸﻬﺑ ﺪﻴﻬﺷ ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ،ﻲﻣﻮﻤﻋ ﻲﺣاﺮﺟ هوﺮﮔ رﺎﻳدﺎﺘﺳا ﻢﻴﻜﺣ نﺎﻤﻘﻟ

ﻮـﮕﺨﺳﺎﭘ ةﺪﻨﺴﻳﻮﻧ

: ﺮﺘﻛد ﻲﻤﺷﺎﻫﺮﻴﻣ يدﺎﻫﺪﻴﺳ

ﻢﻴﻜﺣ نﺎﻤﻘﻟ نﺎﺘﺳرﺎﻤﻴﺑ ،ﻲﺘﺸﻬﺑ ﺪﻴﻬﺷ ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ،يژﻮﻟﻮﺗﺎﭘ هوﺮﮔ رﺎﻳدﺎﺘﺳا**

ﻦﻔﻠﺗ : 55419390

ﻢﻴﻜﺣ نﺎﻤﻘﻟ نﺎﺘﺳرﺎﻤﻴﺑ ،ﻲﺘﺸﻬﺑ ﺪﻴﻬﺷ ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ،ﻲﻣﻮﻤﻋ ﻲﺣاﺮﺟ هوﺮﮔ رﺎﻴﺘﺳد***

E-mail: [email protected]

لﻮﺻو ﺦﻳرﺎﺗ : 26 / 11 / 1389

شﺮﻳﺬﭘ ﺦﻳرﺎﺗ : 15 / 08 / 1390

شﻮﺧ يﺎﻣﻮﻴﻠﺗوﺰﻣ درﻮﻣ ﻚﻳ شراﺰﮔ ﻲﻤﻜﺷ ﻞﺧاد ﻚﻴﺘﺴﻴﺳ ﻲﺘﻟﻮﻣ ﻢﻴﺧ

ﺮﺘﻛد ﻲﻤﺷﺎﻫﺮﻴﻣ يدﺎﻫﺪﻴﺳ ،

*

ﺮﺘﻛد ﻲﺘﺑﺎﺛ ماﺮﻬﺷ ﺮﺘﻛد ،

**

هدازﺎﺿر ﻦﻴﻣا

***

ﻭ ﻩﮊﺍ ﻱﺪﻴﻠﻛ ﻱﺎﻫ :

ﻠﺗﻭﺰﻣ ،ﯽﻤﮑﺷ ﻩﺩﻮﺗ ﻴ

ﺵﻮﺧ ﺎﻣﻮ ﺧ ﻴ ﯽﺘﻟﻮﻣ ،ﻢ ﺳ ﻴ ﺘﺴ ﻴ ﮏ

ﻨﻴﻣز ﻪ فﺪﻫ و

ﻲﺘﻟﻮﻣ يﺎﻣﻮﻴﻠﺗوﺰﻣ

زا ﻪـﻛ ﺖـﺳا يردﺎـﻧ رﻮـﻣﻮﺗ ﻚﻴﺘﺴﻴﺳ

ﺰﻣ ﻲﻣ ءﺎﺸﻨﻣ ﻲﻗﺎﻔﺻ مﻮﻴﻠﺗو و دﺮﻴﮔ

ﻪـﺟرد ﺎـﺑ ﻢﺳﻼﭘﻮﺌﻧ ﻊﻗاو رد

لﻮﻠﺳ ﻂﺳﻮﺘﻣ ﻲﻣ ﻦﺋﻮﺘﻳﺮﭘ يﺎﻫ

ﺪﺷﺎﺑ . ﻪـﺑ ﻪـﻛ دراد ﻞـﻳﺎﻤﺗ رﻮﻣﻮﺗ

ﺪﻨﻛ ﺪﺷر ﻲﻌﺿﻮﻣ ترﻮﺻ

1. ﻦﻴﻨـﺳ رد نﺎـﻧز رد ﺐﻠﻏا ﻪﻌﻳﺎﺿ ﻦﻳا

ﻲﻣ قﺎﻔﺗا يرورﺎﺑ ﺪﺘﻓا

.

،نارﺎـﻤﻴﺑ ﺮـﺜﻛا ﻪﻘﺑﺎﺳ رد ﻢﻜـﺷ ﻲـﺣاﺮﺟ

،ﻲﻠﺒﻗ

،ﻢﺣر مﻮﻴﻣﻮﻴﻟ او ﻦـﮕﻟ ﻲﺑﺎﻬﺘﻟا يرﺎﻤﻴﺑ

دﻮـﺟو زﻮﻳﺮﺘﻣوﺪـﻧ

دراد

1. ﺖـﺳا هﺪﺷ شراﺰﮔ ﻢﻫ نادﺮﻣ و نﺎﻛدﻮﻛ رد نآ زا يدراﻮﻣ .

ﻞـﺧاد ءﺎﺸﺣا ﺖﻤﺳ ﻪﺑ شﺮﺘﺴﮔ ﺎﺑ ﻢﻜﺷ رد ﺖﺳا ﻦﻜﻤﻣ يرﺎﻤﻴﺑ ﻢﻜـﺷ هﺮـﻔﺣ زا جرﺎـﺧ ﺎﻳ و هدﺮﻛ زوﺮﺑ ﻲﻗﺎﻔﺻ ﻒﻠﺧ ﺎﻳ و ﻲﻗﺎﻔﺻ دﻮﺷ دﺎﺠﻳا

2.

و

گرﺰـﺑ هدﻮﺗ ترﻮﺻ ﻪﺑ دراﻮﻣ ﺐﻠﻏا رد ﻪﻌﻳﺎﺿ ﻦﻳا3

ﻲﻣ ﺮﻫﺎﻈﺗ ﻲﻤﻜﺷ ﺪﺑﺎﻳ

4. ژﻮﺗﺎﭘ فﻼـﺧ ﺮـﺑ ،هدﻮـﺑ ﻪﺘﺧﺎﻨـﺷﺎﻧ نآ ﺰﻧ دراﺪﻧ ﻲﻃﺎﺒﺗرا زﻮﺘﺴﺑزآ ﺎﺑ ﻢﻴﺧﺪﺑ يﺎﻣﻮﻴﻠﺗوﺰﻣ

5. زوﺮـﺑ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ

ﻦﻳا ﻊﻳﺎﺷ ًﺎﺘﺒﺴﻧ نﺎﻧز رد يرﺎﻤﻴﺑ

رد ، ﺖﻴـﺳﺎﺴﺣ يرورﺎـﺑ ﻦﻴﻨﺳ

ﻣرﻮﻫ ـ ﻄﻣ ﻪﻌﻳﺎﺿ ﻦﻳا ﻲﻧﻮ ـ

ﺷ حﺮ ـ ﺳا هﺪ ـ ﺑ و ﺖ ﻪ ﺒﻧد ـ نﺎـﻣرد لﺎ

ﺖــﺴﻴﻧﻮﮔﺎﺘﻧآ ﺎــﺑ ﻦﻴﭘوﺮﺗودﺎــﻨﮔ هﺪــﻨﻨﻛدازآ يﺎــﻫ

GnRH) و(

ﻣﺎﺗ ـ ﻦﻔﻴﺴﻛﻮ ﻳﺎﺳ ـ ﻲﻣ ﻚﭼﻮﻛ هدﻮﺗ ﺰ

6دﻮـﺷ لﺎـﺣ ﺮـﻫ ﻪـﺑ ﺎـﻣا

ﻪﻌﻳﺎـﺿ ﻲـﻌﻄﻗ نﺎـﻣرد و ﻚـﻳژﻮﻟﻮﺗﺎﭘ ﺺﻴﺨـﺸﺗ ﺖﻬﺟ ﻲﺣاﺮﺟ ﻲﻣ يروﺮﺿ ﺪﺷﺎﺑ

1.

رﺎﻤﻴﺑ ﻲﻓﺮﻌﻣ

ﻢﻧﺎﺧ رﺎﻤﻴﺑ 52

ﻪﻟﺎﺳ

،ﻢﻜـﺷ ﻢﻬﺒﻣ درد ﺖﻳﺎﻜﺷ ﺎﺑ ﻪﻛ ﺖﺳا يا

ﻓ ﻪﻴﺣﺎﻧ رد هﺪﻧﻮﺷ گرﺰﺑ هدﻮﺗ سﺎﺴﺣا ـ

ـﻜﺷ ﭗﭼ ﻲﻧﺎﻗﻮ ـ

زا ﻢ 4

ﻩﺪﻴﻜﭼ : ﻠﺗﻭﺰﻣ ﻴ ﺎﻣﻮ ﻱ ﺘﻟﻮﻣ ﻲ ﺳ ﻴ ﺘﺴ ﻴ ﻤﮑﺷ ﮏ ﻲ ﺭﺩﺎﻧ ﺭﻮﻣﻮﺗ ﻱ ﻤﻋ ﻪﮐ ﺖﺳﺍ ـ ﹰﺎﺗﺪ ﻥﺎﻧﺯ ﺭﺩ ﺭﺩ ، ﻨﺳ ﻴ ﺭﻭﺭﺎﺑ ﻦ ﻱ ﻔﺗﺍ ـ ﻣ ﻕﺎ ﻲ ﺪﺘﻓﺍ . ﺑ ﻥﻮﻨﮐﺎﺗ ﻴ ﺯﺍ ﺶ ۱۳۰ ﮔ ﻥﺁ ﺯﺍ ﺩﺭﻮﻣ ـ

ﻩﺪﺷ ﺵﺭﺍﺰ

ﺖﺳﺍ . ﺑ ﻪﺼﺨﺸﻣ ﻴ ﺭﺎﻤ ﻱ ﺍ ، ﻳ ﮐ ﺩﺎﺠ ﻴ ﺖﺴ ﺎﻫ ﻱ ﺪﻨﭼ ﻩﺮﻔﺣ ﺍ ﻱ ﺎﺑ ﺩﺪﻌﺘﻣ ﻭ ﻩﺩﻮﺑ ﮎﺯﺎﻧ ﺭﺍﺪﺟ ﹰﺎﺒﻟﺎﻏ

ﻩﺩﻮﺗ ﺕﺭﻮﺼﺑ ﺎﻫ

ﻱ ﻤﮑﺷ ﮒﺭﺰﺑ ﻲ ﻣ ﺯﻭﺮﺑ ﻲ ﺪﻨﮐ . ﻣﺎﮕﻨﻫ ﻲ ﻣﻮﺗ ﻪﮐ ـ ﺭﺩ ﺭﻮ

ﻣ ﺮﻫﺎﻈﺗ ﻢﮑﺷ ﻲ

ﻳ ﻄﺳ ﻪﺑ ﺪﺑﺎ ـ ﺯﻭﺮﺳ ﺡﻮ ﻱ ﺯﺍ ﻕﺎﻔﺻ ﻞﺧﺍﺩ ﺒﻗ

ﻴ

،ﻡﻮﺘﻨﻣﺍ ،ﻩﺩﻭﺭ ﻞ ﺤﻃ

ـ ﻭ ﺪﺒﮐ،ﻝﺎ ﻳ ﻥﺎﮔﺭﺍ ﺎ ﺎﻫ ﻱ ﺯﺍ ﻕﺎﻔﺻ ﻒﻠﺧ ﺒﻗ

ﻴ ﻣ ﺱﺍﺮﮑﻧﺎﭘ ﻞ ﻲ

ﺪﺒﺴﭼ . ﺯﺍ ﻥﺁ ﻕﺍﺮﺘﻓﺍ

ﺑﻴ ﺭﺎﻤ ﻱ ﺎﻫ ﻱ ﮐ ﻴ ﺘﺴ ﻴ ﺩ ﮏ ﻳ ﺎﺑ ﮏﻤﮐ ﺎﺑ ﻂﻘﻓ ﺮﮕ ﺖﻓ

ﺳﺎﻨﺷ ﻲ ﻭ ﻩﺩﻮﺑ ﺣﺍﺮﺟ ﻲ ﺨﺸﺗ ﺖﻬﺟ ﻴ ﻭ ﺺ ﺭﻭﺮﺿ ﻥﺎﻣﺭﺩ ﻱ

ﺖﺳﺍ . ﺭﺩ ﺍﻳ ﻘﻣ ﻦ ـ ﻓﺮﻌﻣ ﻪﺑ ﻪﻟﺎ ﻲ ﻢﻧﺎﺧ ۵۲ ﻪﻟﺎﺳ ﺍ ﻱ ﻣ ﻲ ﺯﺍﺩﺮﭘ ﻳ ﻢ

ﻟﺩ ﻪﺑ ﻪﮐ ﻴ ﻤﮑﺷ ﻩﺩﻮﺗ ﻞ ﻲ

۲۰

× ۱۵ ﺘﻧﺎﺳ ﻴ ﺤﺗ ﺮﺘﻤ ـ ﺣﺍﺮﺟ ﻞﻤﻋ ﺖ ﻲ

ﻗـ ﮔ ﺭﺍﺮ ـ ﺖﺳﺍ ﻪﺘﻓﺮ . ﺨﺸﺗ ﻴـ ﻫ ﺺ ﻴ ﺘﺴ ـ ﮊﻮﻟﻮﺗﺎﭘﻮ ﻱ ﻠﺗﻭﺰﻣ ﻥﺁ ﻴـ ﺎﻣﻮ ﻱ ﺘﻟﻮﻣ ﻲ ﺳ ﻴ ﺘﺴ ﻴ ﺵﻮﺧ ﮏ ﺧ ﻴ ﺵﺮﺘﺴﮔ ﺎﺑ ﻢ

ﻔﺻ ﻒﻠﺧ ﺀﺎﺸﺣﺍ ﺖﻤﺳ ﻪﺑ ﺩﻮﺑ ﻕﺎ

.

(2)

ﻴﺳ و هﺎﻣ ـ زا سردوز يﺮ 2

ـﺒﻗ هﺎﻣ ـ

ﺮـﻛ ﻪـﻌﺟاﺮﻣ ﻞ ﺖـﺳا هد

. رد

،رﺎﻤﻴﺑ ﻪﻘﺑﺎﺳ ﺟ

ـ

ـﺘﻜﺘﺴﻴﺳ ﻪـﻟﻮﻛ و ﻲـﻤﺣر مﻮﻴﻣ ﻲﺣاﺮ ـ

رد ﻲﻣﻮ

ﺟو ﻞﺒﻗ لﺎﺳ ﺪﻨﭼ ـ

دراد دﻮ . رﺎـﻤﻴﺑ ﻲـﻳوراد و ﻲﻠﻴﻣﺎﻓ لﺎﺣ حﺮﺷ

ﺖﺳا ﻲﻔﻨﻣ .

ﻪﻨﻳﺎﻌﻣ رد :

،ﻲﺗﺎﻴﺣ ﻢﻳﻼﻋ ﻪـﻳر و ﺐـﻠﻗ و ندﺮﮔ و ﺮﺳ ﻪﻨﻳﺎﻌﻣ

دﻮﺑ ﻲﻌﻴﺒﻃ .

ﺮـﺑ هوﻼﻋ هﺎﮕﻧ رد رﺎﻤﻴﺑ ﻢﻜﺷ ﻲـﺣاﺮﺟ شﺮـﺑ ﻞـﺤﻣ

ﻮـﺗ ،هدﻮﺑ ﻪﻨﻳﺮﻗ ﺮﻴﻏ ،ﻲﻠﺒﻗ ﻢﻜـﺷ ﭗـﭼ ﻲﻧﺎـﻗﻮﻓ ﻪـﻴﺣﺎﻧ رد ﻲﻣر

هدﻮﺗ ﺲﻤﻟ رد ﻪﻛ دﻮﺑ دﻮﻬﺸﻣ ﻲﺒﻳﺮﻘﺗ دﺎﻌﺑا ﻪﺑ يا

10

× 20 ﺮﺘﻤﻴﺘﻧﺎﺳ

رد ﺖﻴـﺳﺎﺴﺣ نوﺪـﺑ و ﺾﺒـﻧ نوﺪـﺑ ،ﻢﻛ كﺮﺤﺗ و ﺖﻔﺳ ماﻮﻗ ﺎﺑ ﻲﻣ سﺎﺴﺣا ﻪﻴﺣﺎﻧ نﺎﻤﻫ ﺪﺷ

. رﺎﻤﻴﺑ ﻲﻠﺳﺎﻨﺗ هﺎﮕﺘﺳد و ﻦﮕﻟ ﻪﻨﻳﺎﻌﻣ

دﻮﺑ ﻲﻌﻴﺒﻃ ﻢﻫ .

ﻲﻫﺎﮕﺸﻳﺎﻣزآ ﻲﺳرﺮﺑ رد :

لﻮﻠﺳ شرﺎﻤﺷ

،زﻼﻴﻣآ ،ﻲﻧﻮﺧ يﺎﻫ

ﺖﺴﺗ ﺖـﺳا هدﻮﺑ ﻲﻌﻴﺒﻃ ﻲﻤﻴﺷﻮﻴﺑو ﻪﻴﻠﻛ و ﺪﺒﻛ دﺮﻜﻠﻤﻋ يﺎﻫ .

رد

ﻲﺳ و ﻲﻛارﻮـﺧ ﺖﺳاﺮﺘﻨﻛ ﺎﺑ ﻦﮕﻟ و ﻢﻜﺷ زا هﺪﺷ مﺎﺠﻧا ﻦﻜﺳا ﻲﺗ

هدﻮﺗ ،ﻲﻘﻳرﺰﺗ ﺎـﺑ ﻚﻴﺘـﺴﻴﺳ ياﺰـﺟا زا ﻞﻜـﺸﺘﻣ ﺲﻧدوﺮـﺘﻫ يا

دﺎـﻌﺑا ﻪـﺑ نﻮﮕﻤﻫﺎـﻧ و ﻲﻠﺧاد يﺎﻫ هراﻮﻳد 20

× 13 ﺮﺘﻤﻴﺘﻧﺎـﺳ رد

تروﺎـﺠﻣ رد ﻪﻛ ﺪﺷ شراﺰﮔ ﭗﭼ ﻲﻣاﺪﻗ لﺎﻧر ارﺎﭘ يﺎﻀﻓ ﻲﻣاﺪـﻗ

ﺖـﺷاد راﺮـﻗ لﺎـﺤﻃ ﻲـﻠﺧاد ﺖﻤﺳ و ﭗﭼ ﻪﻴﻠﻛ و ﻲﻟﺎﺤﻃ ﺪﻳرو .

ﻪﺘﻓﺎﻳ مد و ﻪـﻨﺗ رد ﻚﻴﺘـﺳﻼﭘﻮﺌﻧ ﻊﻳﺎـﺿ هﺪﻨﻨﻛ حﺮﻄﻣ قﻮﻓ يﺎﻫ

دﻮﺑ ساﺮﻜﻧﺎﭘ دﻮﺑ هدﺮﻛ ﺎﺠﺑﺎﺟ ﻮﻠﺟ ﻪﺑ ار هﺪﻌﻣ ﻪﻛ

) ﺮﻳﻮﺼﺗ 1 ( .

ﺮﻳﻮﺼﺗ ۱ ﻲﺳ ﺭﺩ ﻩﺩﻮﺗ ﯼﺎﻤﻧ ـ ﯽﮐﺍﺭﻮـﺧ ﺖﺳﺍﺮﺘﻨﮐ ﺎﺑ ﻦﮕﻟ ﻭ ﻢﮑﺷ ﻦﮑﺳﺍ ﻲﺗ

ﺭﻭ ﻭ ﻳ ﯼﺪ وCEA CA19-9 ﺑ ﻃ رﺎﻤﻴ دﻮﺑ ﻲﻌﻴﺒ . هﺎﮕﺘـﺳد ﻲﭘﻮﻜـﺳوﺪﻧآ

ار ﻲﺤﻄﺳ ﻦﻣﺰﻣ ﺖﻳﺮﺘﺳﺎﮔ ﻲﻧﺎﻗﻮﻓ شراﻮﮔ دﻮﻤﻧ شراﺰﮔ

.

ﻪـﻛ ﺖـﻓﺮﮔ راﺮﻗ ﻦﻳﻻ ﺪﻴﻣ شﺮﺑ ﺎﺑ ﻲﺣاﺮﺟ ﻞﻤﻋ ﺖﺤﺗ رﺎﻤﻴﺑ هدﻮﺗ دﺎﻌﺑا ﻪﺑ يا 20

× 13 لﻮـﺴﭙﻛ و ﻚﻴﺘـﺴﻴﻛ ياﺰﺟا ﺎﺑ ﺮﺘﻤﻴﺘﻧﺎﺳ و هﺪـﻌﻣ و ساﺮﻜﻧﺎﭘ زا اﺪﺟ ﻪﻛ ﺪﺷ هﺪﻫﺎﺸﻣ قﺎﻔﺻ ﻒﻠﺧ رد ﺢﺿاو

ﻳﺮﺷ و ﺪﻳرو ﻪﺑ ﻲﮔﺪﻨﺒﺴﭼ ﺎﺑ لﺎـﺤﻃ ﻞـﺧاد ﺖﻤـﺳ رد ﻲﻟﺎﺤﻃ نﺎ

دﻮﺑ . ﺪﺷ نﻮﻳﺰﻴﺴﻛا لﺎﺤﻃ ﺎﺑ هاﺮﻤﻫ ﻞﻣﺎﻛ رﻮﻄﺑ هدﻮﺗ )

ﺮﻳﻮﺼﺗ 2 ( .

ﻮﺼﺗ ﻳ ﺮ ۲ ـ ﻝﺎﺤﻃ ﻩﺍﺮﻤﻫ ﻪﺑ ﻩﺩﻮﺗ ﯼﺮﻫﺎﻇ ﯼﺎﻤﻧ

ﮔ ـ يژﻮﻟﻮﺗﺎﭘ شراﺰ :

ﻜﺳوﺮﻛﺎﻣ يﺎﻤﻧ ـ

ﺗ ﻚﻴﭘﻮ ـ ترﻮـﺻ ﻪﺑ هدﻮ

ﻣ ﻪﻌﻳﺎﺿ ـ ﻛ هزاﺪﻧا ﻪﻛ دﻮﺑ كزﺎﻧ راﺪﺟ ﺎﺑ ﻚﻴﺘﺴﻴﺳ ﻲﺘﻟﻮ ﻴ

ـ ﺖﺴ ﺎﻫ

ﻨﭼ زا ـ ﺘﻤﻴﻠﻴﻣ ﺪ ـ ﺎﺗ ﺮ 6 ﻤﻴﺘﻧﺎﺳ ﺮﺘ ﻴﻐﺘﻣ ـ ﺣ و هدﻮﺑ ﺮ ـ

درز ﻊﻳﺎﻣ يوﺎ

دﻮﺑ ﮓﻧر و ﻜﻴﻣ يﺎﻤﻧ رد ـ

زا ﻞﻜـﺸﺘﻣ ﻚﻴﺘﺴﻴﻛ ﻪﻌﻳﺎﺿ ﻲﭘﻮﻜﺳوﺮ

ـﻠﺳ ﻒـﻳدر ﻚﻳ ـ

لﻮ

ـﻄﺳ رد ﻪـﻛ ﻲـﺒﻌﻜﻣ لﺎـﻴﻠﺗوﺰﻣ يﺎـﻫ ـ

ﺢ

ـﺑ ﺎـﻬﻧآ زا يرﺎﻤـﺷ ﻲﮕﺘﺴﺟﺮﺑ ﻪ

ـﻣﻮﻟ ﻞـﺧاد ـ

ـﻬﺸﻣ ﻦ ـ ﺎـﺑ و دﻮ

ﺘﺳا ـ ـﺷ ﻪﻃﺎﺣا رﻻﻮﻜﺳاووﺮﺒﻴﻓ يﺎﻣوﺮ ـ

ـﻫاﻮﺷ و دﻮـﺑ هﺪ ـ

زا يﺪ

،ﻲﻟﻮﻠﺳ ﻲﭙﻴﺗآ ﻓا

ـ ﺖـﻴﻟﺎﻌﻓ ﺶﻳاﺰ ﺖـﻳور زوﺮـﻜﻧ ﺎـﻳ ﻚـﻴﺗﻮﺘﻴﻣ

ﺪﻳدﺮﮕﻧ ) ﺮﻳﻮﺼﺗ 3 ( .

ﺮﻳﻮﺼﺗ ۳ ﺭ ﯼﺎﻤﻧ ـ ﻳ ﺑﺰ ﻴ ﺎﺿ ﺯﺍ ﯽﻨ ﻳ ﻩﺪﺷ ﻪﺘﺷﺍﺩﺮﺑ ﻪﻌ

(3)

رﺎﻤﻴﺑ 72 بﻮـﺧ ﻲﻣﻮـﻤﻋ لﺎـﺣ ﺎـﺑ ﻲـﺣاﺮﺟ زا ﺲﭘ ﺖﻋﺎﺳ

يﺮﻴﮕﻴﭘ رد و ﺪﻳدﺮﮔ ﺺﻴﺧﺮﺗ 12

ﺖﺷاﺪﻧ دﻮﻋ ﻪﻫﺎﻣ .

ﺚﺤﺑ

شﻮﺧ ﻚﻴﺘﺴﻴﻛ ﻲﺘﻟﻮﻣ يﺎﻣﻮﻴﻠﺗوﺰﻣ

ﻂـﺳﻮﺗ رﺎـﺑ ﻦﻴﻟوا ﻢﻴﺧ

Smith Mannemeyer لﺎﺳ رد

1979 د حﺮﺷ ﺪـﺷ هدا

7.

و

ﻦـﻳا8

ًاﺮﺜﻛا ﻪﻌﻳﺎﺿ ﻲﻣ قﺎﻔﺗا ﻞﺜﻣ ﺪﻴﻟﻮﺗ ﻦﻴﻨﺳ رد نﺎﻧز رد

ﺑ ﺎﻣا ﺪﺘﻓا ﻪ ﺮﻫ

ﺖـﺳا هﺪـﺷ شراﺰﮔ ﻢﻫ نﺎﻛدﻮﻛ و نادﺮﻣ رد لﺎﺣ

9. ﻦﻳﺮﺘﻌﻳﺎـﺷ

،ﺖـﺳا ﻦﮕﻟ و ﻢﻜﺷ ﻦﻴﻳﺎﭘ درد نآ ﻲﻨﻴﻟﺎﺑ تاﺮﻫﺎﻈﺗ ترﻮـﺼﺑ ﺎـﻣا

ﻲﻣ ﺮﻫﺎﻈﺗ ﺰﻴﻧ ﻲﻤﻜﺷ هدﻮﺗ و نزو ﺶﻫﺎﻛ ﺪـﺑﺎﻳ

10. ﺺﻴﺨـﺸﺗ يﺎـﻫ

ﺎﻫ هدﻮﺗ ﻞﻣﺎﺷ نآ ﻲﻗاﺮﺘﻓا

شﻮـﺧ و ﻢﻴـﺧ ﺪـﺑ ﻚﻴﺘﺴﻴﻛ ي ﻢﻴـﺧ

ﻲﻣ ﺪـﺷﺎﺑ .

شﻮـﺧ ﻚﻴﺘـﺴﻴﺳ تﺎﻌﻳﺎـﺿ ﺎـﻣﻮﻳﮋﻧﺎﻔﻨﻟ ﻞـﺜﻣ ﻢﻴـﺧ

) ﺎـﻣوﺮﮕﻴﻫ ﻚﻴﺘﺴﻴﺳ (

، ﻚﻴﺘـﺴﻴﺳ مﺮـﻓ Endo Salpingiosis

،

ﺘﻣوﺪﻧا ـ ﻟﻮﻣ ﺖﺴﻴﻛ ،زﻮﻳﺮ ـ

،قﺎﻔﺻ ﻒﻠﺧ ﻦﻳﺮ ﺪـﻴﺋﻮﻧدآ يﺎـﻫرﻮﻣﻮﺗ

ـﻔﻧوﺰﻣ ياﺮـﺠﻣ ﻚﻴﺘـﺴﻴﺳ يﺎـﻳﺎﻘﺑ و ﻚﻴﺘﺴﻴﺳ ـ

ﺖـﺳا ﻚﻳﺮ

1.

و ﻢﻴﺧﺪﺑ مﻮﻴﻠﺗوﺰﻣ ﻞﻣﺎﺷ ﺰﻴﻧ ﻢﻴﺧﺪﺑ تﺎﻌﻳﺎﺿ يزوﺮـﺳ يﺎﻫرﻮﻣﻮﺗ

ﺖـﺳا ناﻮﺘﻳﺮﭘ

11. ـﻴﺨﺸﺗ ـ ﻢـﺳﻼﭘﻮﺌﻧ زا نآ ﺺ ﻚﻴﺘـﺴﻴﺳ يﺎـﻫ

شﻮﺧ ﻛذ ﻢﻴﺧﺪﺑ و ﻢﻴﺧ ـ

،هﺪﺷ ﺮ

شور زا هدﺎﻔﺘـﺳا ﺎـﺑ ﻲﺘﺣ يﺎـﻫ

ﺖـﺳا راﻮـﺷد ﺰـﻴﻧ ﻪﺘﻓﺮﺸﻴﭘ يرادﺮﺑﺮﻳﻮﺼﺗ

12.

و

ـﮔﻮﻧﻮﺳ13

ـ

،ﻲﻓاﺮ ﻲﺳ

ما و ﻦﻜﺳا ﻲﺗ -

رآ - يآ ﻲﻣ ﻚـﻤﻛ ﺺﻴﺨـﺸﺗ ﺖـﻬﺟ ﺪـﻧاﻮﺗ

ﺪﺷﺎﺑ هﺪﻨﻨﻛ .

ﻞﺒﻗ ﻪﻌﻳﺎﺿ زا ﻲﻧزﻮﺳ نﻮﻴﺳاﺮﻴﭙﺳآ ﺰـﻴﻧ ،ﻲﺣاﺮﺟ زا

ـﻛ دوﺪﺤﻣ رد ـ

ﺺﻴﺨـﺸﺗ ندﺮ

ﺖـﺳا ﺪـﻴﻔﻣ ﻲـﻗاﺮﺘﻓا يﺎـﻫ

14.

و 15

نﻮـﻣزآ و ﻲﻧوﺮﺘﻜﻟا پﻮﻜﺳوﺮﻜﻴﻣ ﻪﻌﻟﺎﻄﻣ ﺎﺑ ﻪﻌﻳﺎﺿ ﻦﻳا ﺺﻴﺨﺸﺗ ﺗ ﻲﻳﺎﻴﻤﻴﺷﻮﺘﺴﻴﻫﻮﻧﻮﻤﻳا ﺄ

ﻲﻣ ﺪﻴﻳ دﻮﺷ . ﺖـﻬﺟ ﻲـﺣاﺮﺟ ﻦﻳاﺮﺑﺎـﻨﺑ

زا ﻂـﻘﻓ ﻲـﻌﻄﻗ ﺺﻴﺨـﺸﺗ و ﺖﺳا يروﺮﺿ نآ نﺎﻣرد و ﺺﻴﺨﺸﺗ

ﻮﺘﺴﻴﻫﻮﻧﻮﻤﻳا نﻮـﻣزآ و ﻲﺘﺧﺎﻨـﺷ ﺖﻓﺎﺑ ﻲﺳرﺮﺑ ﻖﻳﺮﻃ ﻲﻳﺎﻴﻤﻴـﺷ

ﻲﻣ ترﻮﺻ دﺮﻴﮔ

.

ﻪﺠﻴﺘﻧ يﺮﻴﮔ

ﻲﺘﻟﻮﻣ يﺎﻣﻮﻴﻠﺗوﺰﻣ ﻪﭼ ﺮﮔا يردﺎـﻧ رﻮـﻣﻮﺗ ﻲﻤﻜﺷ ﻚﻴﺘﺴﻴﺳ

رد ﻲﻗﺎﻔـﺻ جرﺎـﺧ ﺎـﻳ و ﻞـﺧاد ءﺎﺸﺣا ﻪﺑ نآ ﻲﮔﺪﻨﺒﺴﭼ و ﺖﺳا ﻲﻣ ﻚﻳژﻮﻟﻮﻳدار يﺎﻫﺎﻤﻧ ﻲﻨﻴﻟﺎـﺑ توﺎـﻀﻗ رد هﺎﺒﺘـﺷا ﺚﻋﺎﺑ ﺪﻧاﻮﺗ

ﺪﻳﺎﻤﻧ ﻲﻘﻠﺗ جﻼﻋﻻ ار نآ و هﺪﺷ ﺞﻟﺎﻌﻣ ﻚﺷﺰﭘ

، حﺮﺷ ﻪﺑ ﻪﺟﻮﺗ ﺎﻣا

ﻴﺑ ﻪﺘﺷﺬﮔ لﺎﺣ ﻲﻣ رﺎﻤ

ﺪﻧاﻮﺗ هﺪﺷ شراﺰﮔ درﻮﻣ ﺪﻨﻧﺎﻣ

، ﻪﻨﻴﻣز زﺎـﺳ

ﺖـﺳا ﻲﻌﻄﻗ نﺎﻣرد هار ﺎﻬﻨﺗ ﻪﻛ هدﻮﺑ لﺎﻜﻳدار ﻲﺣاﺮﺟ ماﺪﻗا ﻚﻳ .

زا ﻲـﺸﺨﺑ ﻦﺘﺷاﺬﮔ ﻲﻗﺎﺑ ﺎﺑ ﻲﻤﺟﺎﻬﺗ ﺮﻴﻏ و دوﺪﺤﻣ ﻲﺣاﺮﺟ مﺎﺠﻧا ﻲﻣ رﻮﻣﻮﺗ ﻪﻨﻴﻣز ﺪﻧاﻮﺗ ﻞـﻤﺤﺘﻣ ار رﺎـﻤﻴﺑ و هدﻮـﺑ يﺪـﻌﺑ دﻮﻋ زﺎﺳ

ﻲﺣاﺮﺟ ﺪﻳﺎﻤﻧ رﺮﻜﻣ يﺎﻫ .

(4)

Abstract:

A Case Report of Benign Multicystic Mesothelioma of Abdomen

Mirhashemi S. H. MD^*, Sabeti Sh. MD^**, Rezazadeh A. MD^***

(Received: 15 Feb 2011 Accepted: 6 Nov 2011)

Benign multicystic abdominal mesothelioma is a rare tumor that occurs mainly in women in their reproductive age. To date 130 cases have been reported. It is characterized by the formation of multilocular cysts with thin-walled that frequently appears as large, intraabdominal masses. When tumor appears in the abdominal cavity, it attaches to intra-peritoneal organs like intestine and omentum, spleen, liver or progress toward retroperitoneal organs such as pancreas. Differentiation from other cystic lesions could be only with histologic study and surgery is mandatory for diagnosis and treatment. In this study we report a case of 52- year-old woman with 20×15cm abdominal mass that undergone surgery. Histopathological examination revealed a multicystic mesothelioma with retroperitoneal progression.

Key Words: Abdominal Mass, Benign Mesothelioma, Multicystic

*Assistant Professor of General Surgery, Shahid Beheshti University of Medical Sciences and Health Services, Logman Hakim Hospital, Tehran, Iran

**Assistant Professor of Pathology, Shahid Beheshti University of Medical Sciences and Health Services, Logman Hakim Hospital, Tehran, Iran

***Resident of General Surgery, Shahid Beheshti University of Medical Sciences and Health Services, Logman Hakim Hospital, Tehran, Iran

(5)

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