CA LÂM SÀNG - HỘI CHỨNG BƯỚU QUÁI ĐANG TRƯỞNG THÀNH: NHÂN MỘT TRƯỜNG HỢP HIẾM GẶP

Abstract

Introduction: Growing teratoma syndrome is a rare benig condition that often appears after immature teratoma patients, who were received chemotherapy. Early diagnosis of this syndrome remains a major challenge. Although it is a benign disease, patients with this syndrome offten have a large tumor that cause pressure on nearby organs. According to current medical evidence, surgery is still the main treatment for this disease, it is also helping to reduce the risk of recurrence and eliminate orther germ cell tumor malignancies. Case report: A 24 year-old female patient was admitted to the hospital because of abdominal pain. She underwent a surgical biopsy after that and the result was immature teratoma. She was treated for 10 cycles but dropped out afterwards. The patient reccured the abdominal tumor about 50cm in size after 1 year, received optimal cytoreduction, the surgery time was about 6 hours with blood loss of about 2000ml. The patient was stable and was discharged. The final results of the tumor is an mature teratome, which is fit the diagnostic criteria for growing teratoma syndrome. Conclusion: Surgery is a prerequisite treatment for this group of conditions. Surgery plays role in both a diagnostic and therapeutic. Its also helps to exclude malignant pathologies belonging to the group of malignant pathologies of germ cell tumors.