germ cell tumor:

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Chengdu Puji Traditional Chinese Medicine Research Institute

Chengdu Puji TRADITIONAL CHINESE MEDICINE RESEARCHINSTITUTE Traditional Chinese Medicine Outpatient Department

Chengdu Puji

Case study of traditional Chinese medicine treatment for tumor recovery

Kindness and skillfulness

V differential diagnosis V comprehensive treatment with both root and branch treatment for living with a tumor

Overview of the condition:

Disease type: germ cell tumor:

Age: 16, Gender: Female, Region: Qinghai

QI family, a patient with germ cell tumor from Xining, Qinghai province, previously underwent surgery after diagnosis of germ cell tumor

Treatment report showed a uterine mass approximately 1.5cm×2.8cm×2cm, a mass in the left adnexal region approximately

9.4cm ×5.2cm ×6.0cm, a mass in the right adnexal region approximately 7.0cm ×4.6cm ×4.8cm, self

Described postoperative abdominal pain, diarrhea, and weakened immunity, thus seeking traditional Chinese medicine treatment at our hospital.

After medication, upon follow-up in July 2025, the report showed uniform echo in the uterus, no masses detected in both adnexal regions

Abnormal echoes, all masses have disappeared.

Ultrasound findings

Figure 1: Bladder

Uterus: a uterine-like echo was observed in the pelvis, measuring approximately 1.5x2.8x2.0cm, with endometrial echo appearing linear.

Bladder: bladder not well distended, no definite abnormal echoes observed internally.

Separated, with multiple punctate and strip-like strong echoes seen internally, with punctate and linear blood flow signals detected, arterial spectra observed, RI: 0.57. Right adnexa 1

Adnexal region: both ovaries were not clearly visualized. A cystic-solid lesion approximately 9.4x5.2x6.0cm was observed in the left adnexal region, with numerous internal divisions

Masses tightly adherent in both adnexal regions.

A cystic-solid lesion of approximately 7.0x4.6x4.8cm was observed, with multiple punctate and strip-like strong echoes seen internally, punctate and linear blood flow signals detected

Pelvis: a hypoechoic area about 2.1cm deep was observed.

Diagnostic indication

Before medication, the report showed a uterine intraperitoneal mass approximately 1.5cm × 2.8cm × 2cm.

Uterus is relatively small.

Adnexal cystic-solid lesion: nature? (please combine with tumor markers and clinical findings)

Pelvic effusion.

There is a mass approximately 9.4cm×5.2cm ×6.0cm in both adnexal regions and

Device: color Doppler

7.0cm×4.6cm×4.8cm mass.

5 Report reflects only the condition at the time of examination

Examination: Deng Hong

79 milk

Review: Mao Wei

Record: Jia Suomei

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Scanning time: 2021-02-28 10:29

Datu Tong Hui Zhu Autonomous County People's Hospital

Color Doppler ultrasound examination shows very clear diagnosis

Department: gynecology outpatient clinic

Gender: female

Clinical diagnosis: 1. Adnexal mass

add

Age: 16 years

Examination number: [REDACTED]

Requesting physician: Zhang Chenghua

Device.1-00～

Date of examination: July 28, 2025

Group total: [ID REDACTED]

Examination site:

Ultrasound findings:

Post-bladder filling pelvic ultrasound examination:

Endometrial thickness 2mm,

Uterus: clear contour,

Cervical anterior-posterior diameter

edge y

intact,

the uterine body had uniform echo pattern.

anteroposterior view. uterine body: longitudinal diameter 27mm, anterior-posterior diameter 14mm, transverse diameter 26mm, and

no abnormal blood flow signals were seen within the myometrium

attached:

right ovary size 15m*H

the left ovary is not clearly visible

no free fluid was seen in the rectouterine pouch.

no abnormal echoes were seen in the bilateral adnexal regions.

after patient took medication, no abnormal echoes were seen within the uterus, and the ovarian masses on both sides disappeared.