腹腔镜治疗卵巢成熟性囊性畸胎瘤伴多个囊内漂浮小球
Laparoscopic management of mature cystic teratoma of the ovary with multiple intracystic floating spherules.
作者信息
Takeda Akihiro, Imoto Sanae, Mori Masahiko, Sakai Kotaro, Nakamura Hiromi
出版信息
Arch Gynecol Obstet. 2009 May;279(5):775-6. doi: 10.1007/s00404-008-0855-5. Epub 2008 Nov 27.
INTRODUCTION
A feature of multiple spherical structures floating free in a cystic mass is one of the very rare patterns of mature cystic teratoma.
CASE REPORT
A 32-year-old unmarried nulligravida was referred. Image diagnosis showed a large cystic tumor with unusual intracystic multiple floating spherules. Serum tumor marker test showed elevated squamous cell carcinoma antigen. Laparoscopic-assisted left salpingo-oophorectomy was performed. The histopathological diagnosis was mature cystic teratoma of the ovary with marked desquamative keratin formations.
CONCLUSIONS
After obtaining pathognomonic findings on diagnostic imaging, laparoscopic management of a rare form of mature cystic teratoma of the ovary with numerous intracystic floating spherules was successfully performed.
引言
多个球形结构在囊性肿物内自由漂浮是成熟囊性畸胎瘤极为罕见的表现形式之一。
病例报告
一名32岁未婚未育女性前来就诊。影像诊断显示一个巨大的囊性肿瘤，囊内有异常的多个漂浮小球。血清肿瘤标志物检测显示鳞状细胞癌抗原升高。实施了腹腔镜辅助下左侧输卵管卵巢切除术。组织病理学诊断为卵巢成熟囊性畸胎瘤伴显著的脱屑性角质形成。
结论
在诊断性影像学检查获得特征性表现后，成功地对一种罕见的卵巢成熟囊性畸胎瘤（伴有大量囊内漂浮小球）实施了腹腔镜治疗。
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