卵巢无性细胞瘤伴绒毛膜促性腺激素显著升高1例  

A case of ovarian dysgerminoma with significant increase of chorionic gonadotropin

作　　者：缪醇[1] 赵蕾 季成琼 鲁智惠 Miao Chun;Zhao Lei;Ji Chengqiong;Lu Zhihui(Department of Gynecology,Sichuan Second Hospital of Traditional Chinese Medicine,Chengdu 610031,China)

机构地区：[1]四川省第二中医医院妇科,四川成都610031

出　　处：《实用妇科内分泌电子杂志》2022年第2期86-88,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：卵巢无性细胞瘤是一种中度恶性的卵巢生殖细胞肿瘤,好发于年轻女性,临床发病少见,手术+铂类为主的联合化疗使该病有良好的生存预后及妊娠结局。单纯卵巢无性细胞瘤无内分泌功能,临床检测绒毛膜促性腺激素(HCG)一般为阴性,仅6%~8%含有小簇合体滋养细胞而使HCG呈低反应。本文通过分析1例单纯卵巢无性细胞瘤伴HCG值高达54921.000 mIU/ml的临床资料,探讨该病的临床特点及诊断治疗。Ovarian dysgerminoma is a moderately malignant ovarian germ cell tumor,which is common in young women and rarely occurs clinically.The combination of surgery and platinum chemotherapy makes the disease have a good survival prognosis and pregnancy outcome.Simple ovarian dysgerminoma has no endocrine function.The clinical detection of chorionic gonadotropin(HCG)is generally negative.Only 6%~8%contain small cluster trophoblasts,which makes HCG show low response.The clinical characteristics,diagnosis and treatment of a simple ovarian dysgerminoma with HCG value as high as 54921.000 mIU/ml were discussed.

关 键 词：卵巢 恶性生殖细胞肿瘤 无性细胞瘤 

分 类 号：R737.31[医药卫生—肿瘤]