Babacan Ali, Akpak Yasar Kemal, Kizilaslan Cem, Gun Ismet, Mungen Ercument, Atay Vedat
Department of Obstetrics and Gynecology, GATA Haydarpasa Training Hospital Istanbul, Turkey.
Department of Obstetrics and Gynecology, Ankara Mevki Military Hospital Ankara, Turkey.
Int J Clin Exp Med. 2014 Apr 15;7(4):1172-4. eCollection 2014.
Immature teratoma is quite uncommon older women, particular in postmenopausal period. Only a few cases of postmenopausal immature teratoma of the genital tract have been reported. This report describes a postmenopausal aggressive pelvic immature teratoma case with a grave course despite treatment. A 67-year-old woman being in menopause for the past 16 years was diagnosed with immature teratoma in the pelvic cavity. The mass was removed completely and hysterectomy plus bilateral salpingo-oophorectomy was done. Histopathological diagnosis was grade 2 immature teratoma. The patient had a grave course with recurrences despite therapy and died within one year after initial diagnosis. In teratomas diagnosed over 45 years of age, the possibility of malignant teratoma should also be borne in mind.
未成熟畸胎瘤在老年女性中相当罕见，尤其是在绝经后时期。仅有少数关于绝经后生殖道未成熟畸胎瘤的病例报道。本报告描述了一例绝经后侵袭性盆腔未成熟畸胎瘤病例，尽管接受了治疗，但病程严重。一名67岁女性，已绝经16年，被诊断出盆腔有未成熟畸胎瘤。肿瘤被完全切除，并进行了子宫切除术加双侧输卵管卵巢切除术。组织病理学诊断为2级未成熟畸胎瘤。尽管接受了治疗，患者病程严重且复发，在初次诊断后一年内死亡。对于45岁以上诊断出的畸胎瘤，也应考虑恶性畸胎瘤的可能性。
