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性腺外起源晚期卵黄囊瘤的成功治疗:一例报告并文献复习

Successful treatment of advanced stage yolk sac tumour of extragonadal origin: a case report and review of literature.

作者信息

Rudaitis Vilius, Mickys Ugnius, Katinaitė Justina, Dulko Justyna

机构信息

Clinic of Obstetrics and Gynaecology, Faculty of Medicine, Vilnius University.

Medical Faculty, Vilnius University, Vilnius, Lithuania.

出版信息

Acta Med Litu. 2016;23(2):110-116. doi: 10.6001/actamedica.v23i2.3327.

Abstract

BACKGROUND

Yolk sac tumour diagnosis should be considered for young age patients admitted to the hospital with non-specific complaints of widespread disease. Correct diagnosis and carefully planned treatment is the key to a successful outcome.

METHODS AND MATERIALS

We present a rare case of a widespread yolk sack tumour of a uterine broad ligament. Our team directed a special attention towards the patient's young age, advanced disease, and fertility sparing strategy of treatment.

RESULTS AND CONCLUSIONS

Stage IV yolk sac tumours of extragonadal origin are rarely reported in the literature. Hence, diagnosis and treatment often pose a challenge for emergency care unit doctors, gynaecologists, and oncologists. However, it can be a potentially curable disease. Moreover, patients' fertility can also be preserved. We believe that further analysis of similar cases is necessary to study outcomes and evaluate patients' responses to a sequence of medical decisions taken for this specific case.

摘要

背景

对于因广泛疾病的非特异性主诉入院的年轻患者,应考虑卵黄囊瘤的诊断。正确的诊断和精心规划的治疗是成功治疗的关键。

方法与材料

我们报告一例罕见的子宫阔韧带广泛卵黄囊瘤病例。我们的团队特别关注患者的年轻、疾病进展以及保留生育功能的治疗策略。

结果与结论

文献中很少报道性腺外起源的IV期卵黄囊瘤。因此,诊断和治疗对急诊科医生、妇科医生和肿瘤学家来说常常是一项挑战。然而,它可能是一种可治愈的疾病。此外,患者的生育功能也可以得到保留。我们认为有必要对类似病例进行进一步分析,以研究治疗结果并评估患者对针对该特定病例所采取的一系列医疗决策的反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f08/5088743/47caae8832b7/aml-23-110-g001.jpg

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