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[一名女孩的原发性阴道卵黄囊瘤。病例报告]

[Primary vaginal yolk sac tumor in a girl. Case report].

作者信息

Zunana Cecilia, Peña Teresa M, Osorio Nadime, López Martí Jessica, Califano Paula

机构信息

Sección de Ginecología Infantojuvenil, Servicio de Clínica Pediátrica, Hospital Nacional de Pediatría S.A.M.I.C. "Prof. Dr. Juan P. Garrahan", Ciudad Autónoma de Buenos Aires, Argentina.

Servicio de Hematología y Oncología, Hospital Nacional de Pediatría S.A.M.I.C. "Prof. Dr. Juan P. Garrahan", Ciudad Autónoma de Buenos Aires, Argentina.

出版信息

Arch Argent Pediatr. 2021 Dec;119(6):e643-e647. doi: 10.5546/aap.2021.e643.

Abstract

Gynecological neoplasms in girls are rare and represent only less than 5 % of all childhood tumors. There are no statistics on the incidence of vaginal tumors at this stage in life. We present a 9-month-old girl evaluated for genital bleeding. Ultrasound reveals a vaginal solid mass and vaginoscopy reports a friable tumor. AFP is elevated. A yolk sac tumor is confirmed by biopsy she receives chemotherapy. Within a year after diagnosis, she remains tumor-free. This is a case of interest, not only because of its rarity, but also because a rapid diagnosis of a yolk sac tumor improves outcomes and patient's survival rates.

摘要

女童妇科肿瘤较为罕见,仅占所有儿童肿瘤的不到5%。目前尚无该年龄段阴道肿瘤发病率的统计数据。我们报告一名9个月大因生殖器出血接受评估的女童。超声检查发现阴道有实性肿块,阴道镜检查报告为易碎肿瘤。甲胎蛋白升高。活检确诊为卵黄囊瘤,她接受了化疗。诊断后一年内,她未再出现肿瘤。这是一个值得关注的病例,不仅因其罕见,还因为卵黄囊瘤的快速诊断可改善预后和提高患者生存率。

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