双边恶性卵巢瘤与同时发生的甲状腺癌.
Gwendolyn Glatz1, Danielle Lann2, Pritinder Thind3
1Medical School, Hackensack Meridian Jersey Shore University Medical Center, Neptune, New Jersey, USA.
BMJ case reports
|April 8, 2025
概括
与甲状腺癌并发的恶性卵巢 (MSO) 是罕见的,缺乏标准治疗. 这个案例突出了手术管理,并讨论了MSO的有争议的放射性治疗.
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:
- 恶性卵巢瘤 (MSO) 是一种罕见的卵巢瘤.
- MSO和甲状腺癌的同时发生是非常罕见的.
- 对于这种综合性疾病,没有确定的治疗方案.
研究的目的:
- 报告一个经过更年期的妇女被诊断为双边阶段IA恶性卵巢瘤和并发性乳头甲状腺癌的病例.
- 审查和讨论关于MSO管理的当前文献,特别是当与甲状腺癌相关时.
- 探索放射性治疗在MSO管理中的有争议的作用.
主要方法:
- 一个案例报告,一名绝经后妇女出现了暗示附质块的症状.
- 涉及整体腹腔镜切除子宫外科手术和双边卵管切除手术的手术干预.
- 转移性治疗包括评估并发性甲状腺恶性瘤.
- 关于MSO和并发性甲状腺癌治疗策略的综合文献综述.
主要成果:
- 这名患者被诊断为双边阶段IA恶性卵巢瘤和并发性乳头甲状腺癌.
- 手术管理包括子宫切除术,双侧沙卵管切除术,全甲状腺切除术和部剖析.
- 用于治疗甲状腺癌的辅助放射性治疗.
- 文献审查揭示了MSO治疗方法的多样性,趋向于保守的管理.
结论:
- 与甲状腺癌并发的恶性卵巢瘤的最佳治疗方法仍在争论中.
- 虽然甲状腺癌的治疗更为标准化,但MSO的治疗方法各不相同,最近的文献支持保守的方法.
- 关于MSO放射性治疗的实用性和争议需要进一步的研究和讨论.
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