以阴道出血为表现的婴儿内胚窦瘤：一例报告

Infantile endodermal sinus tumor presenting with vaginal bleeding: report of a case.

作者信息

Horng Y C, Tsai W Y, Lin D T, Huang S F, Lin K H, Li Y W, Hsieh F J, Chen C C

机构信息

Department of Pediatrics, National Taiwan University, Taipei, R.O.C.

出版信息

J Formos Med Assoc. 1994 Feb;93(2):164-6.

PMID:7517245

Abstract

Endodermal sinus tumor (EST) of the vagina is extremely rare and primarily affects infants. We report on a six-month-old female infant with EST of the vagina who presented with vaginal spotting of one month's duration. Pelvic ultrasound and computerized tomography showed a 3.8 x 3.5 cm heterogeneous mass between the bladder and the rectum. The serum alpha-fetoprotein (AFP) level was high (1270 ng/mL) and the beta-human chorionic gonadotropin was undetectable. She received surgical intervention followed by chemotherapy. The patient was disease-free and serum AFP remained undetectable during the eight-month follow-up period.

摘要

阴道内胚窦瘤（EST）极为罕见，主要影响婴儿。我们报告了一名6个月大的患有阴道内胚窦瘤的女婴，她出现阴道点滴出血1个月。盆腔超声和计算机断层扫描显示膀胱和直肠之间有一个3.8×3.5厘米的不均匀肿块。血清甲胎蛋白（AFP）水平很高（1270纳克/毫升），而β-人绒毛膜促性腺激素检测不到。她接受了手术干预，随后进行化疗。在8个月的随访期内，患者无疾病，血清AFP仍检测不到。