子宫肿瘤酷似卵巢性索肿瘤——治疗、复发、妊娠及简要综述。
Uterine Tumors Resembling Ovarian Sex Cord Tumors - Treatment, recurrence, pregnancy and brief review.
作者信息
Schraag Sabrina M, Caduff Rosmarie, Dedes Konstantin J, Fink Daniel, Schmidt Ana-Maria
机构信息
Department of Gynecology, Zurich University Hospital, CH-8091 Zurich, Switzerland.
Department of Pathology, Zurich University Hospital, CH-8091 Zurich, Switzerland.
出版信息
Gynecol Oncol Rep. 2017 Jan 11;19:53-56. doi: 10.1016/j.gore.2017.01.004. eCollection 2017 Feb.
BACKGROUND
Uterine Tumors Resembling Ovarian Sex Cord Tumors (UTROSCT) are rare tumors of low malignancy. In the past, these tumors were mainly treated by hysterectomy. More recently, some authors have proposed conservative surgical management for women wishing to preserve fertility. This article is the first to report on organ-preserving treatment in the case of recurrence or disease persistence.
CASES
We report on three patients with UTROSCT, two of them young, not having completed family planning. One even gave birth to a healthy child after fertility-preserving treatment of a persistent UTROSCT. To our knowledge, this is the first pregnancy reported after surgical treatment of a persistent UTROSCT so far.
CONCLUSION
A fertility-sparing approach should always be considered in young women with UTROSCT who wish to preserve their fertility, also in cases of recurrence or disease persistence.
背景
子宫性索样肿瘤（UTROSCT）是一种罕见的低恶性肿瘤。过去，这些肿瘤主要通过子宫切除术治疗。最近，一些作者提出了对希望保留生育能力的女性进行保守手术治疗的方法。本文首次报道了复发性或持续性疾病的保留器官治疗情况。
病例
我们报告了3例UTROSCT患者，其中2例为年轻女性，尚未完成计划生育。其中1例在持续性UTROSCT的保留生育能力治疗后甚至生下了一个健康的孩子。据我们所知，这是迄今为止持续性UTROSCT手术治疗后首次报道的妊娠情况。
结论
对于希望保留生育能力的年轻UTROSCT女性，即使在复发或疾病持续的情况下，也应始终考虑保留生育能力的方法。
Zotero 插件