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摘要


畸胎瘤爲小兒罕見的腫瘤,多發生於女性,生長在尾薦部者爲最常見,長於胃部者則極其稀少。自1922年第一個胃部畸胎瘤病例被發現以來,文獻上只有51例報告,病人絕大多數爲小兒,且幾乎全發性於男性,女性病人則只有2例。本文報告一個14個月大女孩,因腹部腫瘤、貧血、水腫及發燒而入院,理學檢查發現在左上腹部有一腫瘤且有上消化道出血現象,腹部X光,腹部超音波及上消化道攝影顯示其爲一胃部畸胎瘤,開刀時發現胃後壁有壞死及感染迹象,腫瘤長於胃內部,經病理檢查證實其爲一良性畸胎瘤,但病人卻因敗血症而死亡。本例可能是世界上第52個胃部畸胎瘤病例,同時也是女性第3例。作者於文中並參攷文獻,對胃部畸胎瘤做一回顧。

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並列摘要


A case of gastric teratoma in a 14-month-old girl is resorted. The presenting symptoms were abdominal mass gastrointestinal bleeding, hypoproteinemic edema and infection. A plain abdominal X-ray examination showed the pathognomonic sign of a teratoma. The correct clinical diagnosis was made basing on the findings of abdominal, ultrasonography and upper GI series. She died of sepsis in spate of the benign nature of gastric teratoma. The literature is reviewed and discussed. The patient represents the 52nd case and only the 3rd female described in the literature.

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