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卵巢无性细胞瘤——具有挑战性的术前诊断与微创治疗

Ovarian Dysgerminoma - Challenging Presurgical Diagnosis and Mini-Mally Invasive Treatment.

作者信息

Otto K, Ebertz O, Matsingou C, Andrikos D, De Wilde R L, Krentel H

机构信息

Clinic of Gynecology, Obstetrics, Gynecological Oncology and Senology, Acade-mic Teaching Hospital, Bethesda Hospital, Duisburg, Germany.

Clinic of Gynecology, Obstetrics and Gynecological Oncology, University Hospital for Gynecology, Pius-Hospital Oldenburg, Medical Campus University of Oldenburg, Germany.

出版信息

Arch Clin Med Case Rep. 2023;7(1):66-69. doi: 10.26502/acmcr.96550573. Epub 2023 Feb 3.

DOI:10.26502/acmcr.96550573
PMID:36873804
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9979950/
Abstract

Dysgerminoma is a rare malignant germ cell tumor of the ovary that often affects women in reproductive age. The presurgical differentiation of dysgerminoma from benign conditions is challenging. In early stages, malignant dysgerminoma can be treated with fertility sparing surgery. We present a pictorial non-systematic review of literature, discuss diagnostic challenges in ultrasound and radiological imaging and present laparoscopic treatment options in a young woman with dysgerminoma.

摘要

无性细胞瘤是一种罕见的卵巢恶性生殖细胞肿瘤,常影响育龄期女性。术前将无性细胞瘤与良性疾病进行鉴别具有挑战性。在早期阶段,恶性无性细胞瘤可采用保留生育功能的手术进行治疗。我们对文献进行了图片式的非系统性综述,讨论了超声和放射影像学诊断方面的挑战,并介绍了一名患有无性细胞瘤的年轻女性的腹腔镜治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f74b/9979950/5d7ff7bc2647/nihms-1871659-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f74b/9979950/f4475b46f8b2/nihms-1871659-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f74b/9979950/5d7ff7bc2647/nihms-1871659-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f74b/9979950/f4475b46f8b2/nihms-1871659-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f74b/9979950/5d7ff7bc2647/nihms-1871659-f0002.jpg

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本文引用的文献

1
Ovarian Dysgerminoma: A Tertiary Center Experience.卵巢未成熟畸胎瘤:一家三级中心的经验。
J Adolesc Young Adult Oncol. 2021 Jun;10(3):303-308. doi: 10.1089/jayao.2020.0087. Epub 2020 Aug 5.
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Single-Institution Propensity-Matched Study to Evaluate the Psychological Effect of Minimally Invasive Interval Debulking Surgery Versus Standard Laparotomic Treatment: From Body to Mind and Back.单中心倾向匹配研究评估微创间隔去瘤手术与标准开腹治疗的心理影响:从身体到心理再到身体。
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Evaluation of IOTA Simple Ultrasound Rules to Distinguish Benign and Malignant Ovarian Tumours.
评估IOTA简单超声规则以区分卵巢良恶性肿瘤
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Laparoscopy versus laparotomy for FIGO stage I ovarian cancer.FIGO I期卵巢癌的腹腔镜手术与开腹手术对比
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Am J Obstet Gynecol. 2017 Jan;216(1):50.e1-50.e12. doi: 10.1016/j.ajog.2016.08.030. Epub 2016 Aug 25.
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Gynecologic Cancer Intergroup (GCIG) consensus review for ovarian germ cell tumors.妇科肿瘤研究组(GCIG)关于卵巢生殖细胞肿瘤的共识综述。
Int J Gynecol Cancer. 2014 Nov;24(9 Suppl 3):S48-54. doi: 10.1097/IGC.0000000000000223.
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Surgical management of non-epithelial ovarian malignancies: advantages and limitations of laparoscopy.非上皮性卵巢恶性肿瘤的外科治疗:腹腔镜的优缺点。
Eur J Obstet Gynecol Reprod Biol. 2014 Jan;172:106-10. doi: 10.1016/j.ejogrb.2013.10.023. Epub 2013 Nov 11.
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Laparoscopic management of early-stage malignant nonepithelial ovarian tumors: surgical and survival outcomes.腹腔镜治疗早期恶性非上皮性卵巢肿瘤:手术和生存结局。
Int J Gynecol Cancer. 2013 Feb;23(2):249-55. doi: 10.1097/IGC.0b013e318272e754.
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Laparoscopic surgical staging of early ovarian cancer.早期卵巢癌的腹腔镜手术分期
Rev Obstet Gynecol. 2011;4(3-4):117-22.
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Imaging of gynecological disease (6): clinical and ultrasound characteristics of ovarian dysgerminoma.妇科疾病影像学(六):卵巢未成熟畸胎瘤的临床及超声特征。
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