- 期刊
卵巢顆粒細胞瘤的治療
The Treatment Options for Granulosa Cell Tumor of the Ovary
摘要
卵巢顆粒細胞瘤是一種少見且發展緩慢的惡性腫瘤，病灶多為第I期，預後良好，通常無需追加輔助治療。對手術後有復發的高危險因子、殘留病灶、無法切除的復發病灶，可使用化學治療，有需要時，可輔以放射線或荷爾蒙治療。對晚期或復發性病灶，亦可考慮使用荷爾蒙治療，或以bevacizumab做另一次替代治療法。患者需長期追蹤，因為有些GCT患者會在多年後才復發。
並列摘要
Granulosa cell tumors of the ovary (GCTs) constitute a rare subgroup carrying a malignant potential, since they have the ability to recur and metastasize. GCTs are generally associated with a favorable prognosis, and are diagnosed as stage 1 diseases. Therefore, many patients do not need adjuvant treatment after surgical treatment. Some regimen of combination chemotherapy is an option for patients with residual tumor or a high risk of recurrence. Hormone therapy or bevacizumab appears to be a good treatment alterative for patients with advanced-stage or recurrent GCT. A prolonged post-therapeutic follow-up is necessary because of the risk of recurrences, late and exceptional for the adult form.
延伸閱讀
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- 莊宗憲（2012）。卵巢過度刺激症候群之診斷與治療。家庭醫學與基層醫療，27(7)，236-240。https://doi.org/10.6965/FMPMC.201207.0236
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- 李耀泰、陳福民、郭宗正（2017）。Treatment of Low-Grade Serous Ovarian Cancer。婦癌醫學期刊，(46)，27-31。https://www.airitilibrary.com/Article/Detail?DocID=P20150521002-201710-201710250011-201710250011-27-31