计算机断层扫描血管学辅助卵巢静脉采样用于诊断产生雄激素的莱迪格细胞瘤:一个病例报告
Ken Tomotsune1, Daisuke Saito1, Satoshi Saitou1
1Department of Diabetes and Endocrinology, Saiseikai Utsunomiya Hospital, 911-1 Takebayashimachi, Utsunomiya, 321-0974, Tochigi, Japan, saimiya.com.
精确地定位产生雄激素的卵巢瘤对于保持生育能力至关重要. 通过CT血管学引导的卵巢静脉采样成功地确定了莱迪格细胞瘤,使得节育手术和最佳结果成为可能.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 手术瘤学手术瘤学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 卵巢莱迪格细胞瘤很少见,是产生雄激素的新生体,导致病毒化.
- 术前局部化具有挑战性,特别是在共存的卵巢异常的情况下.
- 精确的局部化对于生育年龄妇女的生育能力保护至关重要.
研究的目的:
- 为了描述由于卵巢莱迪格细胞瘤而导致的严重过激雄激素症的病例.
- 为了突出CT血管学引导的卵巢静脉采样用于瘤局部化的实用性.
- 为了证明在精确定位后,节育手术的成功.
主要方法:
- 一名42岁的女性患有严重的过激雄激素和模两可的成像,接受了CT血管学引导的卵巢静脉采样.
- 对采集的卵巢静脉样本的荷尔蒙分析证实了单边的雄激素过量.
- 进行了腹腔镜手术以切除瘤和管理卵巢囊.
主要成果:
- 卵巢静脉采样精确地将雄激素来源定位到右卵巢.
- 病理学证实了右卵巢的莱迪格细胞瘤和左卵巢囊.
- 观察到手术后丸激素的正常化,月经的恢复,并逐渐改善雄性化.
结论:
- 在成像不确定的情况下,CT血管学辅助的卵巢静脉采样对局部化产生雄激素的卵巢瘤有价值.
- 横向性的功能确认有助于节育手术.
- 这种适应的技术为严重的高雄性质症提供了有价值的诊断方法.
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