怀孕期间恶性卵巢:一个病例报告
Raveena Kapoor1, Monalisa Sur2, Julie M V Nguyen3
1Department of Medicine, University of British Columbia, 2775 Laurel Street, Vancouver, British Columbia V5Z 1M9, Canada.
Gynecologic oncology reports
|December 4, 2024
概括
怀孕期间的恶性卵巢 (MSO) 是罕见的. 这个案例突出了个性化,节约生育的管理,并讨论了甲状腺切除术和放射性治疗MSO的争论中的作用.
科学领域:
- 妇科瘤学 妇科瘤学
- 生殖内分泌学 生殖内分泌学
- 内分泌学 在内分泌学.
背景情况:
- 卵巢瘤,主要是甲状腺组织卵巢瘤,很少见,包括<1%的卵巢瘤.
- 恶性卵巢 (MSO) 异常罕见,约占卵巢病例的5%,管理指导证据有限.
- 怀孕期间MSO的管理存在独特的挑战,因为MSO的罕见性和对孕产妇和胎儿结果的潜在影响.
研究的目的:
- 报告怀孕期间诊断出的恶性卵巢 (MSO) 独特病例.
- 讨论个性化管理方法,包括节约生育的考虑.
- 审查当前的文献和围绕MSO治疗的争议,包括甲状腺切除术和放射性治疗.
主要方法:
- 一个27岁的MSO怀孕患者的案例报告.
- 在怀孕期间进行腹腔镜囊切除术,随后进行连续超声波检查.
- 完成沙卵巢切除术,卵巢切除术,细胞削减手术,全甲状腺切除术以及放射性治疗复发性疾病.
主要成果:
- 在一个11.2厘米成熟的囊性甲状腺瘤中发现了带有乳头甲状腺癌成分的3厘米MSO.
- 患者在怀孕期间接受了保守的治疗,随后进行了手术干预.
- 淋巴结的复发通过进一步的手术和放射性治疗成功治疗,在3年内没有疾病的证据.
结论:
- MSO管理需要个性化,在特定情况下考虑节制生育的选择.
- 甲状腺切除术和放射性治疗在MSO治疗中的作用仍然是持续辩论的主题.
- 密切监测和多学科方法对于在怀孕期间和之后的MSO管理至关重要.
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