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題名 | 發生於懷孕後期的成人威姆(Wilms')氏瘤--一病例報告=Adult Wilms' Tumor in a Post-partum Woman--A Case Report |
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作者 | 黃雅憫; 葉忠信; 盧大年; 周玉瑜; 溫武慶; Hwang, Ya-min; Yeh, Chung-hsin; Lu, Ta-nien; Chou, Yuh-yu; Uen, Wu-ching; |
期刊 | 內科學誌 |
出版日期 | 20020800 |
卷期 | 13:4 2002.08[民91.08] |
頁次 | 頁204-208 |
分類號 | 415.818 |
語文 | chi |
關鍵詞 | 威姆氏瘤; 腎芽細胞瘤; 懷孕期; Wilms' tumor; Nephroblastoma; Pregnancy; |
中文摘要 | 威姆(Wilms')氏腫瘤為兒童時期最常見的泌尿道惡性腫瘤,約佔兒童固態腫瘤的百分之八。大部份的威姆腫瘤在七歲以前就被診斷出來。但是成人的病例就相當少見,文獻上可查到的病例報告不多於二百五十例。本文報告一位廿九歲的婦 女於產後發現由左腎長出巨大的腫瘤,經過手術和一系列檢查得知該腫瘤是罕見的成人威姆氏瘤第二期。病人接受輔助性vincristine及doxombicin的化學治療。但於術後七個月後仍發現肝臟有腫瘤轉移現象,目前病人持續接受化學治療中。其女嬰己十四個月大,於最近之追蹤檢查顯示健康情形良好,無遭受腫瘤侵犯之現象。文獻報導成人威姆氏瘤之預後明顯較小孩為差,必須規範更積極的治療方式。 |
英文摘要 | Wilms' tumor is one of the most common malignancy in children, comprising 8% of all pediatric solid cancers. Over 90% cases are diagnosed before 7 years old. It is very rare in adults. A 29-year-old female patient presented with a stage II, large Wilms' tumor originating in her left kidney. The tumor was detected immediately after she delivered her daughter. She underwent left radical nephrectomy and received 8 courses of weekly adjuvant chemotherapy with vincristine and doxorubicin. Seven months after operation, multiple hepatic meta-stases were detected. She is currently undergoing higher dose chemotherapy. Her daughter appeared well and without any sign of malignancy in the latest follow-up 14 months after her delivery. Adult Wilms' tumor is much worse than children in general, and requires a more aggressive treatment. |
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