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腹腔镜切除卵巢低分化 Sertoli-Leydig 细胞瘤后成功足月妊娠。

Successful term pregnancies after laparoscopic excision of poorly differentiated Sertoli-Leydig cell tumor of the ovary.

机构信息

Department of Obstetrics and Gynecology, Sultan Qaboos University Hospital, Sultan Qaboos University College of Medicine, Muscat, Sultanate of Oman.

出版信息

J Gynecol Oncol. 2012 Jul;23(3):201-4. doi: 10.3802/jgo.2012.23.3.201. Epub 2012 Jul 2.

DOI:10.3802/jgo.2012.23.3.201
PMID:22808364
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3395017/
Abstract

Ovarian Sertoli-Leydig cell tumors are rare sex cord-stromal tumors, accounting for less than 1% of ovarian tumors. Majority of these tumors are benign and unilateral, only 3-5% are bilateral. These patients present with clinical features of virilization due to excessive secretion of testosterone from the tumor, however 50% may have no endocrine symptoms. We report a case of poorly differentiated Sertoli-Leydig cell tumour in a woman diagnosed during routine investigation of infertility. She had two spontaneous successful pregnancies after tumor excision laparoscopically.

摘要

卵巢 Sertoli-Leydig 细胞瘤是一种罕见的性索-间质肿瘤,占卵巢肿瘤的比例不到 1%。这些肿瘤大多数为良性和单侧的,只有 3-5%为双侧。由于肿瘤过度分泌睾酮,这些患者会出现男性化的临床表现,但 50%可能没有内分泌症状。我们报告了一例在常规不孕检查中诊断出的女性低分化 Sertoli-Leydig 细胞瘤病例。她在接受腹腔镜肿瘤切除术后成功自然妊娠两次。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1df/3395017/9f1f432f0d04/jgo-23-201-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1df/3395017/64a8aeed3379/jgo-23-201-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1df/3395017/9f1f432f0d04/jgo-23-201-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1df/3395017/64a8aeed3379/jgo-23-201-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1df/3395017/9f1f432f0d04/jgo-23-201-g002.jpg

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本文引用的文献

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Sertoli-Leydig cell tumor: a rare ovarian neoplasm. Case report and review of literature.支持-间质细胞瘤:一种罕见的卵巢肿瘤。病例报告及文献复习
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Am J Surg Pathol. 1985 Aug;9(8):543-69. doi: 10.1097/00000478-198508000-00001.
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Production of immunoreactive inhibin by a virilizing ovarian tumour (Sertoli-Leydig tumour).男性化卵巢肿瘤(支持-间质细胞瘤)产生免疫反应性抑制素。
Clin Endocrinol (Oxf). 1990 Nov;33(5):613-8. doi: 10.1111/j.1365-2265.1990.tb03899.x.