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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.

DOI:10.5468/ogs.2015.58.5.418
PMID:26430670
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4588850/
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
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7eb4/4588850/eba440b79980/ogs-58-418-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7eb4/4588850/eba440b79980/ogs-58-418-g001.jpg

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World J Surg Oncol. 2024 Feb 3;22(1):42. doi: 10.1186/s12957-024-03319-3.
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本文引用的文献

1
Uterine tumors resembling ovarian sex cord tumors, a clinicopathologic study of six cases.子宫肿瘤酷似卵巢性索肿瘤：6例临床病理研究
Ann Diagn Pathol. 2014 Dec;18(6):329-32. doi: 10.1016/j.anndiagpath.2014.08.009. Epub 2014 Aug 30.
2
Clinical characteristics and outcomes of uterine tumors resembling ovarian sex-cord tumors (UTROSCT): a systematic review of literature.子宫性索样肿瘤（UTROSCT）的临床特征与结局：文献系统综述
Eur J Obstet Gynecol Reprod Biol. 2014 Oct;181:163-70. doi: 10.1016/j.ejogrb.2014.07.050. Epub 2014 Aug 8.
3
Uterine tumors resembling ovarian sex cord tumors.
子宫性索样肿瘤（UTROSCTs）：511例病例的范围综述，包括2例新病例
Medicina (Kaunas). 2024 Jan 19;60(1):179. doi: 10.3390/medicina60010179.
4
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J Clin Med. 2023 Nov 16;12(22):7131. doi: 10.3390/jcm12227131.
5
Uterine tumor resembling ovarian sex-cord tumor: case report and review of the literature.子宫肿瘤酷似卵巢性索肿瘤：病例报告及文献复习
Asian Biomed (Res Rev News). 2022 Jun 30;16(3):145-150. doi: 10.2478/abm-2022-0018. eCollection 2022 Jun.
6
Uterine Tumor Resembling Ovarian Sex Cord Tumor (UTROSCT): A Morphologic and Molecular Study of 26 Cases Confirms Recurrent NCOA1-3 Rearrangement.子宫肿瘤类似于卵巢性索间质肿瘤（UTROSCT）：26 例形态学和分子研究证实了 NCOA1-3 重排的复发。
Am J Surg Pathol. 2020 Jan;44(1):30-42. doi: 10.1097/PAS.0000000000001348.
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J Int Med Res. 2019 Mar;47(3):1339-1347. doi: 10.1177/0300060518821824. Epub 2019 Feb 8.
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Gynecol Oncol Rep. 2017 Jan 11;19:53-56. doi: 10.1016/j.gore.2017.01.004. eCollection 2017 Feb.
9
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Am J Surg Pathol. 2010 Dec;34(12):1749-61. doi: 10.1097/PAS.0b013e3181f8120c.
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Uterine tumor resembling ovarian sex cord tumors treated by hysteroscopy.经宫腔镜治疗的子宫肿瘤，类似卵巢性索肿瘤
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