de Silva Tania S, Patil Abhijeet, Lawrence Roy N
Department of General Surgery, The Great Western Hospital, Marlborough Road, Swindon, UK.
J Med Case Rep. 2010 Jun 17;4:181. doi: 10.1186/1752-1947-4-181.
Cystadenofibromas are rare benign tumors of the fallopian tube with only 15 reported cases worldwide. They are usually asymptomatic and are found incidentally. This case is presented on account of its rarity and to the best of our knowledge, is the first reported case of cystadenofibroma of the fallopian tube discovered during an appendicectomy.
We report a rare case of cystadenofibroma of the fallopian tube in a 19-year-old Caucasian woman who presented with sudden onset of right iliac fossa pain. A clinical diagnosis of appendicitis was made and she was taken to the operating theater for an appendicectomy. Intraoperatively, the appendix appeared normal. However, the 8 cm cyst contained within the right ovary and the blood in the pelvis warranted a salpingo-oopherectomy. Our patient made an uneventful recovery and was discharged after four days. Histology revealed a benign cystadenofibroma of the fallopian tube. There was no evidence of recurrence in the follow-up period of 12 months.
Cystadenofibromas are benign tumors that may macroscopically and ultrasonographically appear malignant. We recommend that the diagnosis of cystadenofibroma is considered prior to performing radical surgery that may affect the fecundity of these patients. Cystadenofibromas confined to the fallopian tube can be treated curatively with unilateral salpingo-oophorectomy, without the need for any further treatment. However, long-term follow-up of more cases is required to draw more definitive conclusions.
囊腺纤维瘤是输卵管的罕见良性肿瘤，全球仅报道过15例。它们通常无症状，多为偶然发现。本文报告此病例是因其罕见，据我们所知，这是首例在阑尾切除术中发现的输卵管囊腺纤维瘤病例。
我们报告一例罕见的输卵管囊腺纤维瘤病例，患者为一名19岁的白种女性，突发右下腹疼痛。临床诊断为阑尾炎，遂将其送往手术室进行阑尾切除术。术中阑尾外观正常。然而，右侧卵巢内的8厘米囊肿及盆腔内的积血促使进行了输卵管卵巢切除术。我们的患者术后恢复顺利，四天后出院。组织学检查显示为输卵管良性囊腺纤维瘤。在12个月的随访期内无复发迹象。
囊腺纤维瘤是良性肿瘤，在大体和超声检查上可能看似恶性。我们建议在进行可能影响这些患者生育能力的根治性手术之前考虑囊腺纤维瘤的诊断。局限于输卵管的囊腺纤维瘤可通过单侧输卵管卵巢切除术治愈，无需进一步治疗。然而，需要对更多病例进行长期随访以得出更明确的结论。
