Brezina P, Woelk J, Brezina D, Devente J
Department of Obstetrics and Gynecology, Brody School of Medicine at East Carolina University, Greenville, NC 27858, USA.
Clin Exp Obstet Gynecol. 2008;35(4):284-6.
This case evaluates a patient with abdominal pain who presented with a pelvic mass and imaging studies suspicious for malignancy.
A 21-year-old, gravida 0, para 0, was admitted after presenting to the outpatient with abdominal pain. Ultrasound revealed a large 17 x 20 cm pelvic mass with solid and cystic components. CT scan revealed worrisome findings including the finding of "omental caking" and nodal enlargement. CA 125 was elevated at 85 U/ml. Final pathology after surgical removal of the mass showed evidence of serous cystadenoma with ovarian torsion without signs of malignancy. The patient had an unremarkable postoperative course and was discharged in stable condition.
Although uncommon, pelvic masses that are benign may mimic malignant masses with extradnexal inflammation.
本病例评估了一名腹痛患者，该患者出现盆腔肿块，影像学检查怀疑为恶性肿瘤。
一名21岁未孕未产女性，因腹痛就诊于门诊后入院。超声检查发现一个17×20厘米的大盆腔肿块，有实性和囊性成分。CT扫描显示有令人担忧的发现，包括“网膜饼”和淋巴结肿大。CA 125升高至85 U/ml。肿块手术切除后的最终病理显示为浆液性囊腺瘤伴卵巢扭转，无恶性迹象。患者术后恢复过程顺利，出院时病情稳定。
虽然不常见，但良性盆腔肿块可能会伴有附件外炎症而类似恶性肿块。
