Distant results of treatment of gonadal and germinal malignant neoplasms in girls
Journal Title: Ginekologia Praktyczna - Year 2005, Vol 85, Issue 4
Abstract
Objective: The majority of malignant germinal neoplasms are found at girls and young women before 30 years old. Between gonadal neoplasms most frequent is folliculoma. The aim of work was to estimate distant results of treatment of germinal malignant neoplasms at girls in our own material. Material: the material consisted of 18 patients in age 4-30 years. Type of operation, histological type, kind of adjuvant therapy, second look laparoscopies, follow up and number of birth were described. Results: From among 14 patients with malignant germinal tumours: 9 in stage IA of disease had sparing surgery and 4 with dysgerminoma and genotype 46 XY had bilateral gonadectomy. In one case because of advanced stage of disease radical operation was performed. During follow up in this group of patients i period 2-11 years, 3 of them delivered healthy children. Two patients were death in spite of adjuvant chemotherapy (BEP). In 4 patient 4-7 years old with folliculoma symptoms of premature puberty were appeared. Three of them are in remission from 6 to 17 years and one of them delivered two healthy children. One girl despite of adjuvant treatment was death after 1.5 years. Conclusion: long-wave observation indicating that sparing treatment is possible in early stages of disease and make possible to fertility in future.
Authors and Affiliations
Izabella Rzepka-Górska, Anna Błogowska, Ryszard Bedner, Dorota Zielińska
Keywords
Related Articles
- EP ID EP118270
- DOI -
- Views 70
- Downloads 0
Hormonalna terapia zastępcza u dziewcząt z hipogonadyzmem w przebiegu wielohormonalnej niedoczynności przysadki
Cechy dojrzewania u dziewcząt z hipogonadyzmem hipogonadotropowym spowodowanym wielohormonalną niedoczynnością przysadki występują po zastosowaniu substytucji hormonów płciowych – estrogenów i progesteronu. Celem pracy...
Distant result of treatment of epithelial malignant neoplasms in girls
Objective and material: Operating treatment of gynaecological malignancies at girls with saving of hormonal and reproductive function of ovary is very problematic. The aim of work was to present our own clinical material...
Zastosowanie ultrasonografii przezodbytniczej do diagnostyki poporodowych uszkodzeń zwieraczy odbytu – doświadczenia własne
Zbadano 83 pacjentki w wieku od 17–38 lat (śr. wieku 28,6 lat) po porodach drogą pochwową, z objawami nietrzymania stolca i/lub gazów oraz po porodach instrumentalnych i pęknięciach krocza 3. i 4. stopnia. Pacjentki by...
Forceps assisted vaginal birth - past or present time?
During the last 3 decades of obstetric the rate of forceps assisted delivery increased dramatically. In some departments this procedure is completly abandoned. Therefore we can draw the conclusion that forceps procedure...
Biochemiczne i farmakologiczne aspekty histaminy
Histamina jest aminą biogenną, rozpowszechnioną w świecie roślinnym i zwierzęcym. Synteza histaminy została przeprowadzona w 1907 r. przez Windausa i Vogta. Właściwości farmakologiczne histaminy są marginalnie znane klin...