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卵巢非妊娠性绒毛膜癌：沙特阿拉伯1例罕见病例报告

Non-gestational Choriocarcinoma of the Ovary: A Report of a Rare Case From Saudi Arabia.

作者信息

Sait Hesham K, Alghamdi Fahad, Ragab Yaser, Aljadani Sarah, Sait Khalid H

机构信息

Obstetrics and Gynecology, Faculty of Medicine, King Abdulaziz University, Jeddah, SAU.

Obstetrics and Gynecology, Tom Baker Cancer Centre, University of Calgary, Calgary, CAN.

出版信息

Cureus. 2024 Aug 9;16(8):e66487. doi: 10.7759/cureus.66487. eCollection 2024 Aug.

DOI:10.7759/cureus.66487
PMID:39246853
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11381097/
Abstract

Non-gestational choriocarcinoma of the ovary is extremely rare and presents diagnostic and therapeutic challenges. Early recognition, appropriate surgical intervention, and adjuvant chemotherapy are essential for successful management. This case underscores the importance of considering choriocarcinoma in the differential diagnosis of ovarian tumors, especially in perimenopausal women with vascular mass. We present the case of a 47-year-old sexually active woman with a history of pelvic pain, diagnosed with non-gestational choriocarcinoma of the ovary. The patient underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy with successful management using the bleomycin, etoposide, and platinum (BEP) regimen. This case highlights the importance of early detection and appropriate management of this rare entity.

摘要

卵巢非妊娠性绒毛膜癌极为罕见，在诊断和治疗方面均具有挑战性。早期识别、恰当的手术干预以及辅助化疗对于成功治疗至关重要。该病例强调了在卵巢肿瘤的鉴别诊断中考虑绒毛膜癌的重要性，尤其是对于有血管性肿块的围绝经期女性。我们报告一例47岁有性生活史的女性，有盆腔疼痛病史，被诊断为卵巢非妊娠性绒毛膜癌。该患者接受了全腹子宫切除术及双侧输卵管卵巢切除术，并采用博来霉素、依托泊苷和顺铂（BEP）方案成功治疗。本病例突出了早期发现和恰当处理这种罕见疾病的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f303/11381097/79f5296f65e3/cureus-0016-00000066487-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f303/11381097/db39f0992040/cureus-0016-00000066487-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f303/11381097/8b8b942db879/cureus-0016-00000066487-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f303/11381097/55569df80fa7/cureus-0016-00000066487-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f303/11381097/81be8a52f5cb/cureus-0016-00000066487-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f303/11381097/79f5296f65e3/cureus-0016-00000066487-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f303/11381097/db39f0992040/cureus-0016-00000066487-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f303/11381097/8b8b942db879/cureus-0016-00000066487-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f303/11381097/55569df80fa7/cureus-0016-00000066487-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f303/11381097/81be8a52f5cb/cureus-0016-00000066487-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f303/11381097/79f5296f65e3/cureus-0016-00000066487-i05.jpg

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Int J Gynecol Cancer. 2024 Jun 3;34(6):926-934. doi: 10.1136/ijgc-2023-004906.
2
Primary ovarian choriocarcinoma occurring in a postmenopausal woman: A case report.一名绝经后妇女发生原发性卵巢绒毛膜癌：病例报告。
World J Clin Cases. 2023 May 26;11(15):3592-3598. doi: 10.12998/wjcc.v11.i15.3592.
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Gestational or non-gestational choriocarcinoma - A diagnostic dilemma.
Taiwan J Obstet Gynecol. 2022 May;61(3):564. doi: 10.1016/j.tjog.2022.03.031.
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Non-Gestational Ovarian Choriocarcinoma: A Rare Ovarian Cancer Subtype.非妊娠性卵巢绒毛膜癌：一种罕见的卵巢癌亚型。
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5
Pure primary non-gestational choriocarcinoma originating in the ovary: A case report and literature review.起源于卵巢的纯原发性非妊娠性绒毛膜癌：一例报告及文献复习
Rare Tumors. 2021 Oct 8;13:20363613211052506. doi: 10.1177/20363613211052506. eCollection 2021.
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