关键词: Steroid cell tumor glucose metabolism laparoscopy prolactin sex cord-stromal tumor testosterone

Mesh : Female Humans Young Adult Glucose Ovarian Neoplasms Prolactin Sex Cord-Gonadal Stromal Tumors Testosterone

来  源:   DOI:10.1177/03000605231194509   PDF(Pubmed)

Abstract:
Steroid cell tumor not otherwise specified (SCT-NOS) is a rare type of sex cord-stromal tumor with malignant potential. A 19-year-old woman underwent laparoscopic bilateral cystectomy, and postoperative pathology showed bilateral ovarian SCT-NOS. She had recurrence of the right tumor 8 years after the surgery, with shortened menstrual cycles, elevated testosterone and prolactin concentrations, and impaired glucose metabolism. We performed a laparoscopic right salpingo-oophorectomy. Testosterone and prolactin concentrations rapidly decreased and returned to the normal range after surgery. Subsequently, she had regular menstrual cycles and good glycemic control. The findings in our case suggest that there is a possibility of late recurrence in SCT-NOS. Therefore, we suggest that the postoperative follow-up period should be 10 years for this condition.
摘要:
未另作说明的类固醇细胞肿瘤(SCT-NOS)是一种罕见的性索间质肿瘤,具有恶性潜能。一名19岁女性接受了腹腔镜双侧膀胱切除术,术后病理显示双侧卵巢SCT-NOS。手术后8年,她的右侧肿瘤复发,月经周期缩短,睾酮和催乳素浓度升高,和葡萄糖代谢受损。我们进行了腹腔镜右输卵管卵巢切除术。术后睾酮和催乳素浓度迅速下降并恢复到正常范围。随后,她有规律的月经周期和良好的血糖控制。在我们的案例中的发现表明,SCT-NOS存在晚期复发的可能性。因此,我们建议这种情况的术后随访期为10年。
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