Taira Yuusuke, Hirakawa Makoto, Nagayama Chiaki, Ikemiyagi Kozue, Touma Takashi, Tokashiki Midori
Department of Obstetrics and Gynecology, Regional Independent Administrative Corporation Naha City Hospital, Okinawa, Japan.
J Obstet Gynaecol Res. 2012 Feb;38(2):461-5. doi: 10.1111/j.1447-0756.2011.01715.x. Epub 2011 Dec 19.
A 76-year-old woman underwent laparotomy at another hospital because of acute abdomen. Owing to strong attachment and dissemination of the tumor, it was unresectable. Adult-type granulosa cell tumor (AGCT) was diagnosed based on pathological examination. Considering her poor condition, she was advised to receive total supportive care. However, she was lost to follow-up after a few months. Subsequently, she visited our hospital with abdominal distension. A large abdominal tumor and liver metastasis was observed on abdominal computed tomography (CT). We selected palliative radiotherapy to relieve her of the symptoms. External beam radiotherapy was delivered to the affected data. No acute adverse effects were observed. We observed reduction in tumor size on postoperative abdominal CT. She is still alive with no signs of tumor progression for 30 months. Palliative radiotherapy is effective for patients with advanced-stage AGCT and abdominal complaints.
一名76岁女性因急腹症在另一家医院接受了剖腹手术。由于肿瘤粘连严重且已扩散，无法切除。经病理检查诊断为成人型颗粒细胞瘤（AGCT）。考虑到她的身体状况较差，建议她接受全面的支持性治疗。然而，几个月后她失去了随访。随后，她因腹胀前来我院就诊。腹部计算机断层扫描（CT）显示有一个巨大的腹部肿瘤和肝转移。我们选择姑息性放疗以缓解她的症状。对受影响部位进行了外照射放疗。未观察到急性不良反应。术后腹部CT显示肿瘤大小缩小。她至今仍存活，30个月来无肿瘤进展迹象。姑息性放疗对晚期AGCT及有腹部症状的患者有效。
