Noun M, Ennachit M, Boufettal H, Elmouatacim K, Samouh N
Service de gynécologie-obstétrique C, maternité Lalla-Mériem, hôpital Ibn-Rochd de Casablanca, Casablanca, Maroc.
J Gynecol Obstet Biol Reprod (Paris). 2007 Oct;36(6):595-601. doi: 10.1016/j.jgyn.2007.04.005. Epub 2007 May 29.
We return a case of ovarian immature teratoma with peritoneal gliomatose at a woman aged of 20 years.
The diagnosis discovered following pelvic mass increasing volume and treaty by a one-sided annexectomy, with chemotherapy.
Eighty-seven cases have been published in the literature. Although potential for recurrence is high, the risk of malignancy is very low.
Ovarian immature teratoma is a malignant germ cell tumor and represents less than 1% of ovarian malignant tumors. Tissues are derived from the three germ layers (endo-, meso- and ectoderm). Tumor grading is based on the amount of immature neuroepithelium present. The prognosis is directly correlated to histological grade. Rapid (fast) growth leads to large tumors with an early diagnosis. 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20岁女性卵巢未成熟畸胎瘤伴腹膜胶质瘤病的病例。
诊断是在盆腔肿物体积增大后通过单侧附件切除术及化疗确诊的。
文献中已发表87例。虽然复发可能性高，但恶性风险很低。
卵巢未成熟畸胎瘤是一种恶性生殖细胞肿瘤，占卵巢恶性肿瘤的比例不到1%。组织来源于三个胚层（内胚层、中胚层和外胚层）。肿瘤分级基于未成熟神经上皮的数量。预后与组织学分级直接相关。快速生长导致肿瘤较大且诊断较早。腹膜胶质瘤病是一种罕见情况，其特征是卵巢畸胎瘤手术治疗后腹膜种植复发。这种情况不改变成熟畸胎瘤的良好预后，但我们建议定期随访。
