Ferry P, de Tayrac R
Service de Gynécologie-Obstétrique, Centre Hospitalier de La Rochelle, 17019 La Rochelle
J Gynecol Obstet Biol Reprod (Paris). 2003 Nov;32(7):663-7.
We report the case of a 14-year-old patient referred for right mature ovarian teratoma; recurrent gliomatosis peritonei developed.
The diagnosis of peritoneal recurrence was suspected due to pelvic pain and abnormal findings at ultrasound. Two operations were performed, 18 and 30 months after the initial treatment, to resect peritoneal implants. Histological examination revealed mature and benign gliomatosis peritonei.
Eighty-six cases have been published in the literature. Although potential for recurrence is high, the risk of malignancy is very low.
Gliomatosis peritonei is a rare situation, characterized by the recurrence of peritoneal implants after the surgical treatment of ovarian teratoma. This entity does not modify the good prognosis of mature teratomas, but we recommend regular follow-up.
我们报告一例14岁因右侧成熟卵巢畸胎瘤就诊的患者，其发生了复发性腹膜胶质瘤病。
因盆腔疼痛及超声检查异常发现怀疑腹膜复发。在初始治疗后18个月和30个月进行了两次手术，以切除腹膜种植灶。组织学检查显示为成熟良性腹膜胶质瘤病。
文献中已发表86例。尽管复发可能性高，但恶性风险非常低。
腹膜胶质瘤病是一种罕见情况，其特征为卵巢畸胎瘤手术治疗后腹膜种植灶复发。该情况不改变成熟畸胎瘤的良好预后，但我们建议定期随访。
