在右卵巢的sertoliform子宫内膜瘤癌
Mohammad Alali1, Sulaiman Hajji2, Khalid Aljenaee2
1Kuwait Board of Internal Medicine, Kuwait City, Safat, Kuwait.
Endocrinology, diabetes & metabolism case reports
|September 28, 2023
概括
塞尔托利型子宫内膜腺癌 (SEC) 是一种罕见的卵巢瘤,在绝经前妇女中可以引起像疹症这样的病毒化症状. 早期识别这种恶性瘤是良好的预后的关键.
科学领域:
- 妇科瘤学 妇科瘤学
- 内分泌学 在内分泌学.
- 病理学 病理学 病理学
背景情况:
- 子宫内膜腺癌是上皮卵巢瘤的一个亚型.
- 状子宫内膜癌 (SEC) 是一种非常罕见的变异.
- 雄激素症状,如发症和脱发症,可以表明潜在的瘤.
研究的目的:
- 报告一名经期前妇女因SEC而出现雄性化症状的病例.
- 要强调怀疑快速发病的病毒化患者中分泌雄激素的新生体的重要性.
- 为了强调早期诊断时SEC的良好预后.
主要方法:
- 一个绝经前妇女患有发症和脱发症的案例报告.
- 荷尔蒙评价显示增加了黄素化激素和的水平.
- 盆腔成像识别一个大的卵巢质量.
- 手术管理:整体子宫切除与双边salpingo-oophorectomy.
- 血清病理学证实了sertoliform子宫内膜腺癌.
主要成果:
- 患者呈现出显著的雄激素症状.
- 检测到高水平的黄素化激素和丸激素.
- 确定了一个大的右卵巢质量.
- 组织病理学证实了sertoliform子宫内膜腺癌的诊断.
- 手术后的症状显著改善.
结论:
- 在绝经前的妇女中,塞尔托利型子宫内膜腺癌可能会出现病毒化症状.
- 保持对雄激素分泌瘤的高度怀疑指数对于具有男性化症状的患者至关重要.
- 卵巢癌是一种分化良好的低级恶性瘤,如果局限于卵巢,预后很好.
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