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卵巢未成熟畸胎瘤——一篇叙述性综述

Immature Teratoma of the Ovary-A Narrative Review.

作者信息

Marino Giuseppe, Negri Serena, Testa Filippo, Corti Jasmine, Giuliani Daniela, Lugotti Daniele, Grassi Tommaso, Jaconi Marta, Casiraghi Alessandra, Bonazzi Cristina Maria, Fruscio Robert

机构信息

Obstetrics and Gynecology, Department of Medicine and Surgery, University of Milan-Bicocca, 20126 Milan, Italy.

UO Gynecology, Fondazione IRCCS San Gerardo dei Tintori, 20900 Monza, Italy.

出版信息

Cancers (Basel). 2025 Sep 18;17(18):3041. doi: 10.3390/cancers17183041.

DOI:10.3390/cancers17183041
PMID:41008884
Abstract

Immature teratoma of the ovary is a rare condition primarily affecting young women and constitutes a significant proportion of ovarian cancer cases in adolescents and young adults. It is commonly diagnosed at stage I, though advanced-stage disease is not infrequent. Accurate diagnosis and a fertility-sparing approach are central to the management of this condition, as many affected women retain, or have yet to develop, a desire for childbearing. However, due to the rarity of this disease, management is often guided by retrospective data derived from subanalyses of studies on malignant ovarian germ cell tumors, which can complicate the treatment of these patients once diagnosed. The aim of this review is to summarize the current evidence on immature teratoma of the ovary, considering it as a distinct clinical and pathological entity.

摘要

卵巢未成熟畸胎瘤是一种主要影响年轻女性的罕见疾病,在青少年和年轻成年人的卵巢癌病例中占相当大的比例。虽然晚期疾病并不少见,但通常在I期被诊断出来。准确的诊断和保留生育功能的方法是这种疾病管理的核心,因为许多受影响的女性仍有生育愿望或尚未有生育愿望。然而,由于这种疾病的罕见性,管理通常以恶性卵巢生殖细胞肿瘤研究的亚分析得出的回顾性数据为指导,这可能会使这些患者一旦被诊断后的治疗变得复杂。本综述的目的是将卵巢未成熟畸胎瘤视为一种独特的临床和病理实体,总结关于它的现有证据。

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本文引用的文献

1
Oncologic and fertility outcome in patients with advanced stage ovarian immature teratomas.晚期卵巢未成熟畸胎瘤患者的肿瘤学及生育结局
Gynecol Oncol Rep. 2025 Mar 11;58:101715. doi: 10.1016/j.gore.2025.101715. eCollection 2025 Apr.
2
Primary versus interval cytoreductive surgery in patients with rare epithelial or non-epithelial ovarian cancer.罕见上皮性或非上皮性卵巢癌患者的初次减瘤手术与间隔期减瘤手术对比
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3
Controversies in malignant ovarian germ cell tumors.
卵巢恶性生殖细胞肿瘤的争议
Int J Gynecol Cancer. 2025 Mar;35(3):101670. doi: 10.1016/j.ijgc.2025.101670. Epub 2025 Jan 29.
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Fertility outcomes in stage I ovarian immature teratomas.Ⅰ期卵巢未成熟畸胎瘤的生育结局。
Int J Gynecol Cancer. 2024 Sep 2;34(9):1416-1422. doi: 10.1136/ijgc-2024-005534.
5
Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.2022 年全球癌症统计数据:全球 185 个国家和地区 36 种癌症的发病率和死亡率全球估计数。
CA Cancer J Clin. 2024 May-Jun;74(3):229-263. doi: 10.3322/caac.21834. Epub 2024 Apr 4.
6
Outcome of patients with stage I immature teratoma after surveillance or adjuvant chemotherapy.I期未成熟畸胎瘤患者接受监测或辅助化疗后的结局。
Front Oncol. 2024 Feb 2;14:1330481. doi: 10.3389/fonc.2024.1330481. eCollection 2024.
7
Prognostic factors for pure ovarian immature teratoma and the role of adjuvant chemotherapy in stage I diseases.预测因素对单纯性卵巢未成熟畸胎瘤和辅助化疗在 I 期疾病的作用。
Ann Med. 2023;55(2):2273984. doi: 10.1080/07853890.2023.2273984. Epub 2023 Nov 1.
8
Role of Adjuvant Chemotherapy in Stage I Pure Ovarian Immature Teratoma: A Systematic Review and Meta-Analysis.辅助化疗在Ⅰ期纯卵巢未成熟畸胎瘤中的作用:一项系统评价和Meta分析
Cancers (Basel). 2023 Mar 13;15(6):1741. doi: 10.3390/cancers15061741.
9
Anti-NMDA Receptor Autoimmune Encephalitis: Diagnosis and Management Strategies.抗N-甲基-D-天冬氨酸受体自身免疫性脑炎:诊断与管理策略
Int J Gen Med. 2023 Jan 4;16:7-21. doi: 10.2147/IJGM.S397429. eCollection 2023.
10
Utility of frozen section in pediatric and adolescent malignant ovarian nonseminomatous germ cell tumors: A report from the children's oncology group.小儿及青少年恶性卵巢非精原细胞瘤生殖细胞肿瘤中冰冻切片的作用:儿童肿瘤协作组的报告。
Gynecol Oncol. 2022 Sep;166(3):476-480. doi: 10.1016/j.ygyno.2022.06.013. Epub 2022 Jun 22.