Poujade O, Pujade-Lauraine E, Levardon M, Luton D
Service de Chirurgie Gynécologie Obstétrique, Hôpital Beaujon AP-HP, Clichy, France.
Eur J Gynaecol Oncol. 2008;29(6):649-50.
We report the case of a malignant immature teratoma diagnosed at 21 weeks of amenorrhea in a 36-year-old healthy woman. Ultrasound examination showed a multilocular cystic mass of 175 mm in diameter, situated on the left side of the uterus. A left ovariectomy was performed by laparotomy at 22 weeks of amenorrhea. Histologic examination revealed a malignant grade 2 immature teratoma, and the patient underwent three courses of chemotherapy with a good pregnancy outcome. A cesarean section was carried out at 39 weeks of amenorrhea, associated with a left salpingectomy on which the pathologist examination did not find any malignant cells. The newborn had a normal aspect, and the mother was considered to be in remission after two more courses of chemotherapy..
我们报告了一例36岁健康女性在闭经21周时被诊断出患有恶性未成熟畸胎瘤的病例。超声检查显示子宫左侧有一个直径175毫米的多房囊性肿块。在闭经22周时通过剖腹手术进行了左侧卵巢切除术。组织学检查显示为2级恶性未成熟畸胎瘤，患者接受了三个疗程的化疗，妊娠结局良好。在闭经39周时进行了剖宫产，并同时进行了左侧输卵管切除术，病理学家检查未发现任何恶性细胞。新生儿外观正常，母亲在又接受两个疗程的化疗后被认为处于缓解状态。
