初始治疗结束22年后，未成熟卵巢畸胎瘤复发为恶性滤泡癌并伴有肝和腹膜转移。
Recurrence of immature ovarian teratoma as malignant follicular carcinoma with liver and peritoneal metastasis 22 years after completion of initial treatment.
作者信息
Shannon Nicholas Brian, Chan Norman Hok Ling, Teo Melissa Ching Ching
机构信息
Department of General Surgery, Singapore General Hospital, Singapore.
Department of Pathology, Singapore General Hospital, Singapore.
出版信息
BMJ Case Rep. 2017 Oct 24;2017:bcr-2017-219665. doi: 10.1136/bcr-2017-219665.
Abstract
Growing tumour syndrome (GTS) is a rare event in which germ cell tumours treated with chemotherapy undergo maturation, acquire resistance to chemotherapy and regrow. The optimum treatment strategy is complete surgical excision. We report on a case of GTS with malignant metastases to the liver presenting 22 years after completion of treatment for immature teratoma, successfully managed with surgical resection alone.
摘要
生长性肿瘤综合征（GTS）是一种罕见情况，即接受化疗的生殖细胞肿瘤发生成熟，获得对化疗的耐药性并再次生长。最佳治疗策略是完整的手术切除。我们报告一例GTS病例，该病例在未成熟畸胎瘤治疗结束22年后出现肝脏恶性转移，仅通过手术切除就成功得到治疗。
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