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酷似晚期卵巢癌的破裂卵巢畸胎瘤的处理

Management of ruptured ovarian teratoma mimicking advanced ovarian cancer.

作者信息

Jane Chua Katherine, Barr Alice, Prints Miranda, Ruskin Rachel, Brooks Rebecca

机构信息

University of California, Davis Medical Center, Department of Gynecology Oncology, USA.

University of California, San Francisco Fresno, Department of Obstetrics and Gynecology, USA.

出版信息

Gynecol Oncol Rep. 2024 Mar 31;53:101386. doi: 10.1016/j.gore.2024.101386. eCollection 2024 Jun.

DOI:10.1016/j.gore.2024.101386
PMID:38596159
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11001759/
Abstract

•Chronic chemical peritonitis caused by spontaneous rupture of a mature cystic teratoma may result in prolonged hospitalization and respiratory decline and can mimic a gynecologic malignancy.•Earlier surgical intervention for mature teratoma may prevent morbidity.•Inclusion of a gynecologic oncologist is advised for management discussions and/or surgical back-up.•Complex benign gynecologic surgeries may have some benefit for gynecologic oncologic trainees, which can be used for later oncologic cases.

摘要

•成熟囊性畸胎瘤自发破裂引起的慢性化学性腹膜炎可能导致住院时间延长和呼吸功能下降,并可能酷似妇科恶性肿瘤。

•对成熟畸胎瘤尽早进行手术干预可预防发病。

•建议邀请妇科肿瘤学家参与管理讨论和/或提供手术支持。

•复杂的良性妇科手术可能对妇科肿瘤学实习生有一定益处,可用于后续的肿瘤病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d3/11001759/81effdcd388d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d3/11001759/3f2da56aa8d9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d3/11001759/ef1472aa7c35/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d3/11001759/81effdcd388d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d3/11001759/3f2da56aa8d9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d3/11001759/ef1472aa7c35/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72d3/11001759/81effdcd388d/gr3.jpg

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本文引用的文献

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The more things change, the more they stay the same: The necessity of ensuring gynecologic oncologists remain surgical experts in a changing healthcare environment.万变不离其宗:在不断变化的医疗环境中确保妇科肿瘤学家仍是外科专家的必要性。
Gynecol Oncol Rep. 2024 Feb 2;51:101333. doi: 10.1016/j.gore.2024.101333. eCollection 2024 Feb.
2
Perspectives of gynecologic oncology fellowship training and preparedness for practice.妇科肿瘤学专科培训前景及执业准备情况
Gynecol Oncol Rep. 2023 Dec 20;51:101319. doi: 10.1016/j.gore.2023.101319. eCollection 2024 Feb.
3
Gliomatosis Peritonei and Its Relation to Teratoma: Role of Imaging and Histological Aspects.
腹膜胶质瘤病及其与畸胎瘤的关系:影像学和组织学方面的作用
Cureus. 2022 Sep 6;14(9):e28849. doi: 10.7759/cureus.28849. eCollection 2022 Sep.
4
Chemical peritonitis resulting from spontaneous rupture of a mature ovarian cystic teratoma: a case report.成熟卵巢囊性畸胎瘤自发破裂导致的化学性腹膜炎:一例报告
Acta Med Litu. 2019;26(4):217-226. doi: 10.6001/actamedica.v26i4.4207.
5
A case of chemical peritonitis and pleuritis caused by spontaneous rupture of a benign cystic ovarian teratoma that improved without surgical intervention.一例由良性卵巢囊性畸胎瘤自发破裂引起的化学性腹膜炎和胸膜炎,未经手术干预病情好转。
Clin J Gastroenterol. 2013 Aug;6(4):274-80. doi: 10.1007/s12328-013-0391-0. Epub 2013 Jun 6.
6
Malignant transformation of a mature cystic teratoma of the ovary with rupture.卵巢成熟囊性畸胎瘤破裂恶变。
Jpn J Radiol. 2010 Jun;28(5):372-5. doi: 10.1007/s11604-010-0434-0. Epub 2010 Jun 30.
7
Ovarian dermoid cyst with malignant transformation and rupture of the capsule associated with chemical peritonitis: a case report and literature review.卵巢皮样囊肿伴恶性转化及囊肿破裂并化学性腹膜炎:一例报告及文献复习
Eur J Gynaecol Oncol. 2009;30(2):226-8.
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Lancet Oncol. 2008 Dec;9(12):1173-80. doi: 10.1016/S1470-2045(08)70306-1.
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