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经右半肝扩大切除术治疗的巨大肝畸胎瘤伴腹膜胶质化:综述与病例报告

Giant liver teratoma with gliosis peritonei treated by right extended hepatectomy: Overview and case report.

作者信息

García-Ríos Luis Enrique, García-Ávila Ana K, Luna-Castillo Marisol, Anda-González Jazmín G De, Medrano-Guzmán Rafael

机构信息

Department of Surgical Oncology, Soft Tissue, Bone Tumors and Digestive Tract Tumors, Oncology Hospital, XXI Century National Medical Center, Mexican Institute of Social Security, Mexico City, Mexico.

Department of Pathology, Oncology Hospital, XXI Century National Medical Center, Mexican Institute of Social Security, Mexico City, Mexico.

出版信息

Ann Hepatobiliary Pancreat Surg. 2021 Nov 30;25(4):544-550. doi: 10.14701/ahbps.2021.25.4.544.

Abstract

Germ cell tumors (GCTs) are considered as extragonadal if there is no evidence of a primary tumor in the testes or ovaries. GCTs can be classified as seminomas, non-seminomatous, mature teratomas, and immature teratomas based upon histology. Mature teratomas are generally found in prepuberal children. Less than 1% of them have been reported in the gastrointestinal tract and liver. Liver teratomas are extremely rare. There are only 11 cases reported in adults up to 2018. Isolated liver metastasis of ovarian teratoma is also very rare. We present a case of a late metachronous recurrence of liver cystic teratoma with gliosis peritonei in a female adult treated by a right extended hepatectomy along with a literature review.

摘要

如果没有睾丸或卵巢原发性肿瘤的证据,生殖细胞肿瘤(GCTs)被认为是性腺外肿瘤。根据组织学,GCTs可分为精原细胞瘤、非精原细胞瘤、成熟畸胎瘤和未成熟畸胎瘤。成熟畸胎瘤通常见于青春期前儿童。据报道,不到1%的成熟畸胎瘤发生在胃肠道和肝脏。肝畸胎瘤极为罕见。截至2018年,成人中仅报告了11例。卵巢畸胎瘤的孤立性肝转移也非常罕见。我们报告一例成年女性肝囊性畸胎瘤伴腹膜胶质化的迟发性异时复发病例,并进行文献复习,该病例接受了右半肝扩大切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0751/8639313/cbf155e86c75/ahbps-25-4-544-f1.jpg

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