卵巢毛细血管瘤表现为附件肿块伴大量腹水及CA-125升高。
Ovarian capillary hemangioma presenting as an adnexal mass with massive ascites and elevated CA-125.
作者信息
Gehrig P A, Fowler W C, Lininger R A
机构信息
Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, 27599, USA.
出版信息
Gynecol Oncol. 2000 Jan;76(1):130-2. doi: 10.1006/gyno.1999.5648.
OBJECTIVE
Ovarian hemangiomas are very rare with the majority being cavernous hemangiomas. We report a case of a capillary ovarian hemangioma.
METHODS
A case report of a woman with a capillary ovarian hemangioma with massive ascites and an elevated CA-125 is presented.
RESULTS
A 39-year-old woman presented with an enlarged ovary containing two ovarian cysts. Her CA-125 was elevated to 872 U/ml. On surgical exploration, she had 1500 cc of clear yellow ascitic fluid and a 7.9 x 6.5 x 4.5 cm left ovarian mass. Frozen section revealed marked stromal edema with luteinized cells and no evidence of malignancy. Histologically, the tumor was a cellular capillary hemangioma with an anastomosing vascular pattern.
CONCLUSIONS
This is the first case, reported in the literature, of an ovarian capillary hemangioma presenting with an elevated CA-125 and massive ascites.
目的
卵巢血管瘤非常罕见，大多数为海绵状血管瘤。我们报告一例毛细血管型卵巢血管瘤病例。
方法
报告一名患有毛细血管型卵巢血管瘤并伴有大量腹水和CA-125升高的女性病例。
结果
一名39岁女性，卵巢增大，有两个卵巢囊肿。她的CA-125升高至872 U/ml。手术探查时，她有1500 cc清亮黄色腹水和一个7.9×6.5×4.5 cm的左侧卵巢肿物。冰冻切片显示有明显的间质水肿和黄素化细胞，无恶性证据。组织学检查显示，肿瘤为具有吻合血管模式的细胞性毛细血管血管瘤。
结论
这是文献中报道的首例伴有CA-125升高和大量腹水的毛细血管型卵巢血管瘤病例。
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