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卵巢生殖细胞肿瘤的晚期复发

Late Relapse of Ovarian Germ Cell Tumour.

作者信息

Khan Obaidullah, Winquist Eric, Ettler Helen, Power Nicholas

机构信息

Schulich School of Medicine & Dentistry, Western University and London Health Sciences Centre, London, ON.

Schulich School of Medicine & Dentistry, Western University and London Health Sciences Centre, London, ON; Division of Medical Oncology, Department of Oncology, London Health Sciences Centre, London, ON.

出版信息

J Obstet Gynaecol Can. 2018 Oct;40(10):1329-1332. doi: 10.1016/j.jogc.2018.02.021.

DOI:10.1016/j.jogc.2018.02.021
PMID:30390946
Abstract

BACKGROUND

Malignant ovarian germ cell tumours typically require multimodal therapy including surgery and systemic platinum-based chemotherapy. Most patients are cured, with survival rates exceeding 95%.

CASE

This report describes an unusual case of ovarian germ cell tumour (GCT) recurring 15 years after surgery and manifesting as metastatic disease to the liver, lung, and retroperitoneal lymph nodes.

CONCLUSION

Thymic hyperplasia was a confounding finding in this case, and it should be considered in the differential diagnosis of a mediastinal mass in heavily treated patients with GCT.

摘要

背景

恶性卵巢生殖细胞肿瘤通常需要多模式治疗,包括手术和基于铂的全身化疗。大多数患者可治愈,生存率超过95%。

病例

本报告描述了一例罕见的卵巢生殖细胞肿瘤(GCT)病例,该病例在手术后15年复发,表现为肝、肺和腹膜后淋巴结转移。

结论

胸腺增生是该病例中的一个混淆发现,在接受过大量治疗的GCT患者纵隔肿块的鉴别诊断中应予以考虑。

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