卵巢顆粒細胞瘤的治療：反覆的復發及反覆的治療

Radical Surgery for vaginal cancer secondary to endometrial cancer after hysterectomy emphasized

卵巢顆粒性腫瘤的治療，一般均以手術為主。在早期的卵巢顆粒性腫瘤患者，如果已完成生育或者不打算再生育，全子宮加上雙側卵巢輸卵管全切除，是一個優先的選擇。手術治療後，因為卵巢顆粒性腫瘤的特性緣故﹝低惡性及晚復發﹞，這類病人很少在短時間內復發。不過也有一直持續腫瘤存在，需要反覆的治療。這些復發以後的病患，常常要面對一再的復發，及一再的手術。本病例，就是介紹一再復發的卵巢顆粒性腫瘤。

The main step in the management of adult-type granulosa cell tumors of the ovary is surgery. Total hysterectomy and bilateral salpingo-oophorectomy is one of the best choices in the management of an early-stage of adult-type granulosa cell tumors of the ovary, if no further fertility is considered. Ovarian adult-type granulosa cell tumors are characterized as low-malignant and late-recurrent ovarian tumors, contributing to rarity of immediately recurrent and/or persistent disease status. Sometimes, persistent tumor can be found, which needs an intensive treatment, including repeat surgery. The following case is an example.