MULTIPLE SURGICAL TREATMENT OF A FEMALE PATIENT WITH RECURRENT PELVIC TERATOMA

I. Moshurov, D. A. Golovkov, L. Petrov, D. V. Sukhoverkov, M. B. Bykovtsev, N. S. Ryabkov
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Abstract

Teratoma is a tumor consisting of several types of tissues derived from one, two or three germ leaves, the presence of which is not peculiar to those organs and anatomical areas of the body in which the tumor develops. According to the WHO classification definition, immature teratomas are those containing embryonic tissues along with definitive, mature tissue structures. In histological WHO classification immature teratomas belong to germ cell ovarian tumors and are in­cluded into the group of teracomas. The prognosis is determined by the variant of the histological structure, the primary localization of the tumor, timely and adequate treatment.This article presents a clinical case of treatment of a young female patient with persistently recurrent pelvic teratoma.The presented observation demonstrates, on the one hand, the unpredictability of the course of the tumor process in embryonic tumors. On the other hand, there were demonstrated the possibilities of surgical treatment of another re­lapse of teratoma in a young patient with a massive tumor of the pelvic cavity in a situation where the hopes for a radical operation according to previous abdominal revisions seemed vague.
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女性复发性盆腔畸胎瘤的多重手术治疗
畸胎瘤是一种由一个、两个或三个胚芽叶衍生的几种组织组成的肿瘤,这种肿瘤的存在并不是肿瘤发生的那些器官和身体解剖区域所特有的。根据世界卫生组织的分类定义,未成熟畸胎瘤是指含有胚胎组织和确定的成熟组织结构的畸胎瘤。在组织学WHO分类中,未成熟畸胎瘤属于生殖细胞卵巢肿瘤,被列入畸胎瘤组。预后取决于组织结构的变异、肿瘤的原发部位、及时、充分的治疗。本文报告一年轻女性持续复发盆腔畸胎瘤的临床病例。所提出的观察表明,一方面,胚胎肿瘤过程的不可预测性。另一方面,有证据表明,手术治疗另一个畸胎瘤复发的可能性在一个年轻的病人与盆腔的巨大肿瘤的情况下,根治性手术的希望根据以前的腹部修订似乎是模糊的。
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