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不同病理类型的罕见儿科同步双侧丸生殖细胞瘤:一个病例报告

Yikun Feng¹, Yu Qu¹, Rongde Wu¹

¹Department of Pediatric Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.

Frontiers in pediatrics

|February 2, 2024

概括

同步双侧丸生殖细胞瘤 (BTGCTs) 在儿科患者中很少见. 这一案例凸显了治疗良性病变的丸节约手术的重要性,以及在治疗BTGCT时仔细考虑彻底管切除术.

科学领域:

儿科瘤学儿科瘤学
泌尿病理病理学泌尿病理学
手术瘤学手术瘤学

背景情况:

同步双侧丸生殖细胞瘤 (BTGCTs) 与不同的组织学类型在儿科群体中异常罕见.
这份报告详细介绍了一个独特的病例,涉及一名儿科患者,诊断出左丸黄囊瘤 (YST) 和右丸成熟瘤.

研究的目的:

在一个儿科患者中呈现不同组织学类型的同步双侧丸生殖细胞瘤 (BTGCTs) 的罕见病例.
对同步BTGCTs的现有文献进行审查,以阐明临床病理特征和治疗策略.
总结诊断和治疗经验来管理这种罕见的疾病.

主要方法:

一例同步双侧丸生殖细胞瘤 (BTGCTs) 被用左侧丸切除术和右侧丸节约手术治疗.
术内冷病理学被用于手术规划.
对同步BTGCT进行了文献审查,以分析临床病理特征和治疗结果.

主要成果:

该患者在手术后6个月经历了黄囊瘤 (YST) 的逆上皮质复发,需要重新手术和化疗.
在治疗后没有检测到进一步的瘤转移或复发.
文献综述表明,在双边病例中,急性管切除需要谨慎考虑,有利于在手术内发现的良性病变中进行丸节约手术.

结论:

丸节约手术是良性丸病变的首选选择,即使是在双边瘤的背景下.
快速的手术内冷病理学辅助器在儿童丸瘤的及时手术决策.
同步双侧丸生殖细胞瘤 (BTGCTs) 的管理需要个性化治疗方法,平衡瘤控制与器官保存.

关键词:

在BTGCTs中使用.成熟的特拉托马体是一个成熟的特拉托马体.彻底的兰花切除术 (radical orchiectomy) 是一种切除术.丸节约手术是什么意思黄囊瘤黄囊瘤是什么?

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