Recurrent juvenile granulosa cell tumor of the ovary managed by palliative radiotherapy
Recurrent juvenile granulosa cell tumor of the ovary managed by palliative radiotherapy
复制标题
姑息性放疗治疗复发性幼年性卵巢颗粒细胞瘤
DOI：
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发表时间：
2007
期刊：
影响因子：
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通讯作者：
Y. Aoki
中科院分区：
文献类型：
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作者：
M. Hirakawa;Y. Nagai;C. Yagi;T. Nashiro;M. Inamine;Y. Aoki
少数晚期卵巢幼年颗粒细胞瘤(JGCT)患者的预后传统上是不利的。我们报告一例复发的JGCT患者接受姑息性放射治疗。一位37岁女性复发的JGCT接受了紫杉醇-卡铂联合化疗，然后是单药多西紫杉醇，但她的疾病进展为多发性腹部肿块和腹水。我们选择了姑息放射治疗来缓解她的抱怨。采用全腹外照射加盆腔提高术。她对治疗的耐受性很好。放疗结束后，超声显示肿瘤缩小，腹水消失。对于有腹部主诉的复发性JGCT患者，我们应该考虑采用姑息性放射治疗。
Prognosis in the few patients with advanced-stage juvenile granulosa cell tumor (JGCT) of the ovary has traditionally been unfavorable. We report a recurrent JGCT patient managed by palliative radiotherapy. A 37-year-old woman with recurrent JGCT received a combination of paclitaxel–carboplatin chemotherapy and then single-agent docetaxel, but her disease progressed with multiple abdominal masses and ascites. We chose palliative radiation therapy to relieve her complaints. Whole-abdominal external beam radiotherapy with pelvic boost was delivered. She tolerated the treatment well. After the completion of radiotherapy, ultrasonography showed shrinkage of the tumor, and the ascites disappeared. We should consider using radiation therapy in a palliative setting for such patients with recurrent JGCT suffering from abdominal complaints