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MULTIPLE SURGICAL TREATMENT OF A FEMALE PATIENT WITH RECURRENT PELVIC TERATOMA

https://doi.org/10.17709/2409-2231-2019-6-1-12

Abstract

Teratoma is a tumor consisting of several types of tissues derived from one, two or three germ leaves, the presence of which is not peculiar to those organs and anatomical areas of the body in which the tumor develops. According to the WHO classification definition, immature teratomas are those containing embryonic tissues along with definitive, mature tissue structures. In histological WHO classification immature teratomas belong to germ cell ovarian tumors and are in­cluded into the group of teracomas. The prognosis is determined by the variant of the histological structure, the primary localization of the tumor, timely and adequate treatment.

This article presents a clinical case of treatment of a young female patient with persistently recurrent pelvic teratoma.

The presented observation demonstrates, on the one hand, the unpredictability of the course of the tumor process in embryonic tumors. On the other hand, there were demonstrated the possibilities of surgical treatment of another re­lapse of teratoma in a young patient with a massive tumor of the pelvic cavity in a situation where the hopes for a radical operation according to previous abdominal revisions seemed vague.

About the Authors

I. P. Moshurov
Voronezh Regional Clinical Oncologic Dispensary Voronezh State Medical University
Russian Federation

MD, PhD, DSc, Head Doctor, Head of the Department of Oncology, EITI

4 Vaitsekhovskogo str., Voronezh, 394036, Russian Federation

10 Studencheskaya str., Voronezh, 394036, Russian Federation



D. A. Golovkov
Voronezh Regional Clinical Oncologic Dispensary
Russian Federation

MD, PhD, DSc, Head of the Coloproctology Department

4 Vaitsekhovskogo str., Voronezh, 394036, Russian Federation



L. O. Petrov
A.Tsyb Medical Radiological Research Center – Branch of the National Medical Research Radiological Centre
Russian Federation

MD, PhD, head of department of radiation and surgical treatment of abdominal diseases

4 Koroleva str., Kaluga Region, Obninsk, 249036, Russian Federation



D. V. Sukhoverkov
Voronezh Regional Clinical Oncologic Dispensary
Russian Federation

oncologist

4 Vaitsekhovskogo str., Voronezh, 394036, Russian Federation



M. B. Bykovtsev
Voronezh Regional Clinical Oncologic Dispensary
Russian Federation

oncologist

4 Vaitsekhovskogo str., Voronezh, 394036, Russian Federation



N. S. Ryabkov
Voronezh Regional Clinical Oncologic Dispensary
Russian Federation

clinical resident

4 Vaitsekhovskogo str., Voronezh, 394036, Russian Federation



References

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2. Solopova AE, Sologub YuN, Makatsariya AD, Solopova AG. Ovarian germ cell tumors — a modern approach to the problem. Journal of Obstetrics and Woman Disease. 2016;65 (2):4– 15. DOI: 10.17816/JOWD6524–15 (In Russian).

3. Shurakova AB, Stepanova YuA, Karmazanovsky GG, Bakhmutova EE, Vetsheva NN, Kalinin DV. Ovarian Teratoma, Possibilities of Diagnostics: Clinical Case. Medical Visualization. 2014;5:64–73. (In Russian).

4. Pankratova ES, Mnichovich MV, Puchkov DK. Teratomas: clinical and morphological characteristics, the principles of classification and the difficulties of making diagnoses. I. P. Pavlov Russian Medical Biological Herald/Rossiyskiy mediko-biologicheskiy vestnik imeni akademika I. P. Pavlova. 2007;15 (3):19–28. (In Russian).

5. Kucherov YuI, Zhirkova YuV, Sharkov SM, Rekhviashvili MG, Shishkina TN, Frolova KA. Results of the treatment of teratomas of different localization. Russian Journal of Pediatric Surgery (Detskaya Khirurgiya). 2016;20 (3):130–4. DOI: 10.18821/1560–9510–2016–20–3-130–134 (In Russian).

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Review

For citations:


Moshurov I.P., Golovkov D.A., Petrov L.O., Sukhoverkov D.V., Bykovtsev M.B., Ryabkov N.S. MULTIPLE SURGICAL TREATMENT OF A FEMALE PATIENT WITH RECURRENT PELVIC TERATOMA. Research and Practical Medicine Journal. 2019;6(1):112-118. (In Russ.) https://doi.org/10.17709/2409-2231-2019-6-1-12

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ISSN 2410-1893 (Online)