Growing Teratoma Syndrome:A Case Report

成長性畸胎瘤症後群：病例報告

莊豐賓(Feng-Pin Chuang) ； 李祥生(Shang-Sen Lee) ； 吳勝堂(Guang-Huan Sun) ； 孫光煥(Sheng-Tang Wu) ； 陳宏一(Hueng-Yi Chen) ； 張聖原(Sun-Yran Chang) ； 馬正平(Cheng-Ping Ma) ； 于大雄(Dah-Shyong Yu)

《中華民國泌尿科醫學會雜誌》 11卷4期 (2000/12) Pp. 181-184

https://doi.org/10.7024/JUAROC.200012.0181

摘要

成長性畸胎瘤是說明非精細胞型生殖細胞腫瘤當在接受化學治療時在後腹腔或他處轉移的腫塊變大且其內含為成熟性畸胎瘤。手術時常是困難的，但早期的手術能使長期存活有更多的機會。
報告一位成長性畸胎瘤症候群的病例其合併有後腹腔、胸部及頸部轉移。他接受了手術及化學治療，但不幸地於第二次手術後因呼吸衰竭死亡。對此種病患應儘早予以手術減少合併其它器官功能受損的情況。

關鍵字

生殖細胞腫瘤 ； 成長性畸胎瘤症候群

並列摘要

Growing teratoma syndrome refers to retroperitoneal or other metastatic masses containing mature teratoma enlarging during chemotherapy for nonseminomatous germ cell tumors. Surgery is often difficult and early exploration optimizes the chance of resection which is necessary for long term survival. A case of the growing teratoma syndrome with metastatic masses in the retroperitoneum, lung and neck is presented. This patient was treated with surgery and systemic chemotherapy. Unfortunately, the patient died of respiratory failure due to huge metastatic tumor in the right intrathoracic cavity. Had the surgery been performed earlier, the patient could most likely have survived. Therefore, in cases of growing teratoma syndrome, surgical removal of the tumor should be done as early as possible.

並列關鍵字

germ cell tumors ； growing teratoma syndrome ； non-seminomatous germ cell tumor