Seo Saori, Matsumoto Yoshinari, Tsukioka Miho, Sumi Toshiyuki, Wakasa Kenichi, Ishiko Osamu
Department of Obstetrics and Gynecology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Jpn Clin Med. 2013 May 6;4:37-40. doi: 10.4137/JCM.S11532. eCollection 2013.
We report a patient who has maintained a regular menstrual cycle despite undergoing cystectomy and chemotherapy for contralateral recurrence of ovarian immature teratoma with gliomatosis peritonei. We initially performed a fertility-sparing right salpingo-oophorectomy, omentectomy and peritoneal biopsy for immature teratoma with gliomatosis peritonei, with adjuvant chemotherapy; we performed a left ovarian cystectomy and peritoneal biopsy for mature cystic teratoma with gliomatosis peritonei 16 months after the first surgery, a fertility-sparing left ovarian cystectomy and peritoneal biopsy for contralateral recurrence of ovarian immature teratoma with gliomatosis peritonei 60 months after the first surgery, and a left ovarian cystectomy and peritoneal and external iliac lymph node biopsy for endometrial cyst with gliomatosis peritonei 71 months after first surgery. The peritoneal gliomatosis lesions gradually decreased through the 4 surgeries over 8 years. The patient has maintained a regular menstrual cycle and currently shows no evidence of disease.
我们报告了一名患者，尽管因伴有腹膜胶质瘤病的卵巢未成熟畸胎瘤对侧复发而接受了膀胱切除术和化疗，但仍保持规律的月经周期。我们最初对伴有腹膜胶质瘤病的未成熟畸胎瘤进行了保留生育功能的右侧输卵管卵巢切除术、大网膜切除术和腹膜活检，并进行了辅助化疗；在首次手术后16个月，我们对伴有腹膜胶质瘤病的成熟囊性畸胎瘤进行了左侧卵巢囊肿切除术和腹膜活检；在首次手术后60个月，对伴有腹膜胶质瘤病的卵巢未成熟畸胎瘤对侧复发进行了保留生育功能的左侧卵巢囊肿切除术和腹膜活检；在首次手术后71个月，对伴有腹膜胶质瘤病的子宫内膜囊肿进行了左侧卵巢囊肿切除术以及腹膜和髂外淋巴结活检。在8年的4次手术过程中，腹膜胶质瘤病病变逐渐减少。该患者一直保持规律的月经周期，目前未显示出疾病迹象。
