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婴儿及母亲的绒毛膜癌

Choriocarcinoma in infant and mother.

作者信息

Aozasa K, Ito H, Kohro T, Ha K, Nakamura M, Okada A

出版信息

Acta Pathol Jpn. 1981 Mar;31(2):317-22. doi: 10.1111/j.1440-1827.1981.tb01376.x.

Abstract

A 2-month-old female baby was noticed to have liver tumor. A hemangioma of the right lobe was suspected from the findings by celiac angiography. Histologic findings of the surgically resected material revealed choriocarcinoma of the liver. At autopsy, multiple metastatic nodules were found in the lungs, but remnant liver, ovaries, uterus, mediastinum, and sacrococcygeal region were free of tumor. The ovary had several thecalutein cysts, and the endometrium of the uterus showed pseudodecidual change of the stroma. The mother died two months later. Although histologic materials were not available, the clinical findings including a high value of serum HCG seemed to show that she had been affected by choriocarcinoma. The most probable origin of the choriocarcinoma in the infant from the mother is discussed.

摘要

一名2个月大的女婴被发现患有肝肿瘤。根据腹腔血管造影的结果怀疑是右叶血管瘤。手术切除材料的组织学检查结果显示为肝绒毛膜癌。尸检时,在肺部发现多个转移结节,但肝脏残余部分、卵巢、子宫、纵隔和骶尾部未发现肿瘤。卵巢有几个卵泡膜黄素囊肿,子宫的子宫内膜显示间质假蜕膜样改变。母亲在两个月后去世。虽然没有组织学材料,但包括血清HCG值高在内的临床发现似乎表明她患有绒毛膜癌。本文讨论了婴儿绒毛膜癌最可能的母源性。

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