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一名患有类似卵巢性索肿瘤并侵犯子宫肌层的子宫肿瘤患者,经保守性宫腔镜手术成功分娩。

Successful delivery after conservative resectoscopic surgery in a patient with a uterine tumor resembling ovarian sex cord tumor with myometrial invasion.

作者信息

Jeong Kyung Hee, Lee Hye Nam, Kim Mi Kyoung, Kim Mi-La, Seong Seok Ju, Shin Eunah

机构信息

Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea.

Department of Pathology, CHA Gangnam Medical Center, CHA University, Seoul, Korea.

出版信息

Obstet Gynecol Sci. 2015 Sep;58(5):418-22. doi: 10.5468/ogs.2015.58.5.418. Epub 2015 Sep 22.

Abstract

Uterine tumor resembling ovarian sex cord tumors (UTROSCT) is an extremely rare type of uterine stromal neoplasm that exhibits prominent sex cord-like differentiation. The clinical characteristics of a UTROSCT are not fully understood. Most reported cases of UTROSCT were treated by hysterectomy with or without bilateral salpingo-oophorectomy; however, a few cases have been treated by only tumor resection in patients who had a strong desire to preserve their fertility. We present a case of UTROSCT with myometrial invasion, which resulted in a successful delivery after the patient was treated by resectoscopic surgery and conservation of the uterus, and a brief review of the literature.

摘要

子宫肿瘤样卵巢性索肿瘤(UTROSCT)是一种极其罕见的子宫间质肿瘤,具有显著的性索样分化。UTROSCT的临床特征尚未完全明确。大多数报道的UTROSCT病例接受了子宫切除术,伴或不伴双侧输卵管卵巢切除术;然而,少数有强烈保留生育愿望的患者仅接受了肿瘤切除术。我们报告一例发生子宫肌层浸润的UTROSCT病例,该患者经宫腔镜手术及子宫保留治疗后成功分娩,并对相关文献进行简要综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7eb4/4588850/eba440b79980/ogs-58-418-g001.jpg

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