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摘要


卵巢成年型顆粒細胞瘤是一個非常少見的婦科腫瘤。我們在此報告一個77歲的婦女,在11年前因為子宮肌瘤開全子宮和兩側輸卵管卵巢切除,意外發現左側卵巢長有成年型顆粒細胞瘤,離開刀後5年,患者因為急性腹痛被轉到本院求診,經緊急剖腹探查,發現是成年型顆粒細胞瘤再復發,於是在本院接受第2次手術的切除,術後並無化療給予。一年後,又因為成年型顆粒細胞瘤的再度復發,目前陸續接受長期低劑量(約一至兩個月一次)的化學治療。

並列摘要


Adult-type ovarian granulosa cell tumors (GCTs) are very rare neoplasms, which arise from the sex cord stromal cells of the ovaries. Since a natural history of GCTs is long, it suggests a relatively favorable prognosis of patients with GCTs. However, there is no doubt that some GCTs will recur, resulting the disease-related death. Herein, we presents a 77-year-old woman with a diagnosis of adult-type GCT who had a history of more than 10 years. She underwent surgical intervention twice, and still had disease. She was treated with low-dose metronomic chemotherapy and with stable disease status more than 5 years.

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