De Cuypere M, Martinez A, Kridelka F, Balague G, Maisongrosse V, Ferron G
CHU of Liège, Department of Obstetrics and Gynaecology, 4000 Liège, Belgium. ; Institut Claudius Regaud, Comprehensive Cancer Center, Department of Surgical Oncology, 31000 Toulouse, France.
Institut Claudius Regaud, Comprehensive Cancer Center, Department of Surgical Oncology, 31000 Toulouse, France.
Facts Views Vis Obgyn. 2014;6(4):250-3.
The ovarian Growing Teratoma Syndrome (GTS) is a rare condition among patients with primary Non-Seminomatous Germ Cell Tumours (NSGCT) presenting with enlarging masses during or after appropriate chemotherapy in the context of normalized serum markers. Several modes of dissemination are suggested, with the most frequent site of metastasis being the peritoneum. We report a case of a young patient with primary ovarian mixed NSGCT, who presented with Growing Teratoma Syndrome not only in the peritoneum but also within a trocar site after an initial surgery consisting in the laparoscopic morcellation and extraction of the ovarian neoplasm. Beside the rarity of this clinical entity, it also demonstrates the utmost importance of the safe laparoscopic management of all complex ovarian masses.
卵巢生长性畸胎瘤综合征（GTS）在原发性非精原细胞性生殖细胞肿瘤（NSGCT）患者中较为罕见，这些患者在血清标志物正常化的情况下，于适当化疗期间或之后出现肿块增大。目前提出了几种播散方式，最常见的转移部位是腹膜。我们报告一例年轻的原发性卵巢混合性NSGCT患者，该患者不仅在腹膜出现生长性畸胎瘤综合征，而且在初次手术（包括腹腔镜粉碎术和卵巢肿瘤切除术）后的套管针穿刺部位也出现了该综合征。除了这种临床实体的罕见性外，它还证明了对所有复杂卵巢肿块进行安全腹腔镜处理的至关重要性。
