Sawai H, Kawamoto M, Sonobe H
Dept. of Obstet. & Gyne., Matsuyama Shimin Hospital.
Gan No Rinsho. 1989 Oct;35(12):1473-8.
Reported is a rare case of a 2.5cm endodermal sinus tumor (EST) that was included within a 11 x 10.5 cm serous cystadenoma. A 24-year-old female suddenly complained of abdominal pain caused by having undergone an intestinal torsion of a left ovarian tumor. After a unilateral salpingo-oophorectomy the serum AFP was 219.8 ng/ml. The patient then received two cycles of cis-platinum, vinblastine and bleomycin combination chemotherapy. After one cycle, the serum AFP decreased to a normal level and the woman has remained free of disease 6 months after the discovery of her tumor. In this case, fortunately, this torsion of a serous cystadenoma enabled us to find the EST at a very early stage.
报告了一例罕见病例，一个2.5厘米的内胚窦瘤（EST）包含在一个11×10.5厘米的浆液性囊腺瘤内。一名24岁女性因左侧卵巢肿瘤发生肠扭转而突然腹痛。单侧输卵管卵巢切除术后，血清甲胎蛋白（AFP）为219.8纳克/毫升。该患者随后接受了两个周期的顺铂、长春碱和博来霉素联合化疗。一个周期后，血清AFP降至正常水平，该女性在肿瘤发现后6个月仍无疾病复发。在这个病例中，幸运的是，浆液性囊腺瘤的扭转使我们能够在非常早期发现EST。
