Hu Yuan, Zeng Fei, Xue Min, Xiao Songshu
Department of Obstetrics and Gynecology, Third Xiangya Hospital, Central South University, Changsha 410013, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2016 Dec 28;41(12):1362-1365. doi: 10.11817/j.issn.1672-7347.2016.12.019.
A case of primary yolk sac tumor of endometrium was retrospectively analyzed and relevant literature was systematically reviewed. We found that the primary yolk sac tumor of endometrium showed low incidence rate and was clinically characterized by abnormal vaginal bleeding, intrauterine lesions and significantly elevated alpha-fetoprotein (AFP) level. The final diagnosis should be confirmed by pathological examination. There is no guideline for the treatment of primary yolk sac tumor of endometrium due to its rareness. For now, surgery and chemotherapy are the major therapies and the curative effect is satisfactory in some cases.
回顾性分析1例子宫内膜原发性卵黄囊瘤,并对相关文献进行系统复习。我们发现,子宫内膜原发性卵黄囊瘤发病率低,临床表现为阴道不规则出血、宫腔内占位,血清甲胎蛋白(AFP)水平显著升高。最终诊断需依靠病理检查确诊。由于子宫内膜原发性卵黄囊瘤罕见,目前尚无治疗指南。目前,手术及化疗是主要治疗手段,部分病例疗效满意。