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卵巢无性细胞瘤并同步对侧输卵管妊娠,随后宫内妊娠正常:一例报告

Ovarian dysgerminoma and synchronic contralateral tubal pregnancy followed by normal intra-uterine gestation: a case report.

作者信息

Montesinos Lourdes, Acién Pedro, Martínez-Beltrán Monserrat, Mayol María-José

机构信息

Service of Obstetrics and Gynecology, San Juan University Hospital, Alicante, Spain.

出版信息

J Med Case Rep. 2012 Nov 23;6:399. doi: 10.1186/1752-1947-6-399.

Abstract

INTRODUCTION

We report that the coincidence of ovarian tumor and pregnancy poses significant challenges that are more pronounced if the pregnancy is ectopic.

CASE PRESENTATION

Here, we report a rare and interesting case of a 24-year-old nulliparous Spanish woman who experienced the coincidental occurrence of left tubal pregnancy and dysgerminoma in the right ovary. The corpus luteum settled in the right ovary. A right adnexectomy and left linear salpingostomy were performed. Remarkably, our patient became pregnant spontaneously after surgery. The pregnancy occurred prior to starting chemotherapy, and the intra-uterine pregnancy was carried to term; later, she also had another normal pregnancy. Our patient has done well without chemotherapy.

CONCLUSIONS

Our report on the challenges of diagnosis and treatment faced in this case can help clinicians better understand and manage these pathologies. We have not found any similar cases in the literature.

摘要

引言

我们报告,卵巢肿瘤与妊娠同时存在会带来重大挑战,若为异位妊娠则这些挑战更为突出。

病例介绍

在此,我们报告一例罕见且有趣的病例,一名24岁未育的西班牙女性,同时发生了左侧输卵管妊娠和右侧卵巢无性细胞瘤。黄体位于右侧卵巢。进行了右侧附件切除术和左侧输卵管线性造口术。值得注意的是,我们的患者术后自然受孕。此次妊娠发生在开始化疗之前,宫内妊娠足月分娩;后来,她又有了一次正常妊娠。我们的患者未接受化疗,情况良好。

结论

我们关于该病例所面临的诊断和治疗挑战的报告,有助于临床医生更好地理解和处理这些病症。我们在文献中未发现任何类似病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b4d/3514368/da0a5881a024/1752-1947-6-399-1.jpg

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