卵巢类固醇细胞瘤导致不孕1例
WORLD HEALTH DIGEST(2008)
Abstract
1 病例资料
患者,女,27岁,主诉不孕4年发现右附件肿物3个月要求手术,于2004年2月13日入院.患者平素月经不规律,婚后4年夫妇同居未避孕未孕.因不孕体检时发现右附件实质性肿物约3cm×3cm.经观察3个月无变化,因肿物持续存在,于2004年2月15日行剖腹探查术:术中见子宫及左附件未见异常,右卵巢肿物约3cm×3cm,与正常卵巢组织有明显界限,将卵巢肿物完整切除.剖查标本肿物外有包膜,内为致密黄色颗粒样物,常规关腹.标本病理诊断:卵巢类固醇细胞瘤,肾上腺样瘤,术后化疗1疗程出院.出院1个月正常来月经,3个月后自然妊娠,因距化疗时间较短行人工流产,嘱其避孕半年后,再次妊娠足月产一正常新生儿,产后7个月月经复潮,周期28~30d,产后14个月再次妊娠分娩一正常足月新生儿.产后3个月带环避孕.该患者随访至今,月经正常,无其他不适及异常表现.
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