Altinbas Sadiman Kiykac, Yalvac Serdar, Kandemir Omer, Altinbas Namik Kemal, Karcaaltincaba Deniz, Dede Hulya, Demir Omer Faruk
Department of Perinatology, Etlik Zubeyde Hanim Women's Health Teaching and Research Hospital, 06010, Etlik, Ankara, Turkey.
J Clin Ultrasound. 2010 Jul;38(6):325-7. doi: 10.1002/jcu.20686.
We report a case of ovarian cystic teratoma with an important growth during pregnancy and the sonographic appearance of intracystic multiple, mobile, polygonal structures called intracystic "fat balls." Due to the rapid growth of the lesion, which exceeded 15 cm in diameter, a right oophorectomy was performed. Histopathologic diagnosis confirmed the mature cystic teratoma. The presence of floating balls composed of keratin and fat is rarely seen but is pathognomonic of mature cystic teratomas. Growth of a teratoma during pregnancy is a rare condition.
我们报告一例卵巢囊性畸胎瘤，其在孕期显著生长，超声表现为囊内多个可移动的多边形结构，即囊内“脂肪球”。由于病变迅速生长，直径超过15厘米，遂行右侧卵巢切除术。组织病理学诊断证实为成熟囊性畸胎瘤。由角蛋白和脂肪组成的漂浮球状物很少见，但却是成熟囊性畸胎瘤的特征性表现。畸胎瘤在孕期生长是一种罕见情况。
