Heinig Joerg, Beckmann Veronika, Bialas Tatiana, Diallo Raihana
Department of Obstetrics and Gynecology, University of Muenster, Albert-Schweitzer-Strasse 33, 48149, Muenster, Germany.
Eur J Obstet Gynecol Reprod Biol. 2002 Jul 10;103(2):191-4. doi: 10.1016/s0301-2115(02)00044-1.
To report a case of lymphangioma of the ovary after radiation due to Wilms' tumor in the childhood.
A 19-year-old nulliparous female.
The vaginal ultrasound showed the left ovary enlarged to 4.4 cm x 2.9 cm x 4.5 cm in size including a 3.5 cm x 2.6 cm x 3.2 cm measuring cystic solid tumor without hypervascularity. For exclusion of a malignant tumor, a laparoscopy for excision of the tumor and deep incision of the left ovary with a bipolar needle was performed to exclude deeper tumor of stromal origin. The histological examination of the tissue showed a lymphangioma beside normal ovarian tissue.
To our knowledge, this is the first report of lymphangioma of the ovary after radiation due to Wilms' tumor in the childhood. The impact of this finding on the patient's fertility remains unclear. As in other organs exposed to radiation, lymphangioma can also occur in the ovary. Careful follow up should be considered to this patients, because malignant transformation can not be excluded.
报告一例儿童期因肾母细胞瘤接受放疗后发生的卵巢淋巴管瘤病例。
一名19岁未生育女性。
经阴道超声检查显示左卵巢增大，大小为4.4 cm×2.9 cm×4.5 cm，其中有一个大小为3.5 cm×2.6 cm×3.2 cm的囊实性肿瘤，无血管增多表现。为排除恶性肿瘤，进行了腹腔镜检查以切除肿瘤，并使用双极针在左卵巢进行深部穿刺以排除更深层的间质来源肿瘤。组织学检查显示，在正常卵巢组织旁存在淋巴管瘤。
据我们所知，这是首例关于儿童期因肾母细胞瘤接受放疗后发生卵巢淋巴管瘤的报告。这一发现对患者生育能力的影响尚不清楚。与其他接受放疗的器官一样，淋巴管瘤也可发生于卵巢。鉴于不能排除恶变的可能，应对该患者进行密切随访。
