巨大卵巢水肿与对侧成熟囊性畸胎瘤：一名青春期前女性的无症状表现

Massive ovarian edema and contralateral mature cystic teratoma: asymptomatic presentation in a premenarchal female.

作者信息

Peters F H, Brunell C, Benjamin E

机构信息

Department of Diagnostic Imaging, University College London Hospital, London, UK.

出版信息

J Pediatr Adolesc Gynecol. 2009 Oct;22(5):e118-20. doi: 10.1016/j.jpag.2008.09.005. Epub 2009 Jul 3.

DOI:10.1016/j.jpag.2008.09.005

PMID:19576814

Abstract

BACKGROUND

Massive ovarian edema is a rare entity, which in most cases occurs in adult females presenting with abdominal pain. We present an unusual case associated with contralateral teratoma in a premenarchal female.

CASE

A 13-year-old asymptomatic female presenting with an abdominopelvic mass was referred to the gynecological oncology unit with complex bilateral pelvic masses seen on ultrasound. A combination of computed tomography and repeat ultrasound demonstrated a solid mass containing numerous subcentimeter cysts inseparable from a mature teratoma. Exploratory surgery resulted in unilateral oophorectomy and contralateral cystectomy. Pathology confirmed massive ovarian edema and contralateral mature teratoma.

SUMMARY AND CONCLUSION

Recognition of this rare condition is important to avoid overtreatment of massive ovarian edema. Intraoperative biopsy is recommended as an alternative to oophorectomy in this patient group.

摘要

背景

巨大卵巢水肿是一种罕见病症，多数情况下发生于出现腹痛的成年女性。我们报告一例青春期前女性患者，其与对侧畸胎瘤相关，情况较为特殊。

病例

一名13岁无症状女性因腹部盆腔肿物就诊，超声检查发现双侧盆腔肿物情况复杂，遂转诊至妇科肿瘤科。计算机断层扫描及重复超声检查显示，有一个实性肿物，内含多个小于1厘米的囊肿，与成熟畸胎瘤难以区分。 exploratory手术导致单侧卵巢切除术及对侧囊肿切除术。病理检查证实为巨大卵巢水肿及对侧成熟畸胎瘤。