Vieira Sabas Carlos, Santos Lina Gomes Dos, Cruz Felipe José da Silva Melo, Gonçalves Wildson Moura, Rocha Sheila de Farias Viana Castelo Branco
Hospital São Marcos, Teresina, Piauí, Brazil.
Sao Paulo Med J. 2008 Mar 6;126(2):123-5. doi: 10.1590/s1516-31802008000200011.
Thecomas are benign tumors that account for less than 1% of all ovarian neoplasms. The association of ovarian thecoma with sclerosing peritonitis is rare.
We report the case of a 33-year-old woman, with a two-month history of increasing abdominal volume. Ultrasound showed a complex pelvic lesion and laboratory analysis detected elevated serum CA 125 levels. The patient underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy and peritoneal biopsy. Histopathological analysis revealed the presence of luteinized thecoma of both ovaries associated with sclerosing peritonitis.
卵泡膜细胞瘤是良性肿瘤，占所有卵巢肿瘤的比例不到1%。卵巢卵泡膜细胞瘤与硬化性腹膜炎的关联较为罕见。
我们报告一例33岁女性病例，有两个月腹部逐渐增大的病史。超声检查显示盆腔有一个复杂病变，实验室分析检测到血清CA 125水平升高。患者接受了全腹子宫切除术、双侧输卵管卵巢切除术和腹膜活检。组织病理学分析显示双侧卵巢存在黄素化卵泡膜细胞瘤并伴有硬化性腹膜炎。
