Tohya T, Tajima T
Department of Obstetrics and Gynecology, Kumamoto Rosai Hospital, Yatsushiro, Kumamoto, Japan.
Eur J Gynaecol Oncol. 2011;32(3):347-9.
We report here the case of a 30-year-old woman with a decidualized ovarian endometriotic cyst (DOEC) during pregnancy mimicking malignancy occurring after fertility-preserving surgery for ovarian carcinoma arising from an endometriotic cyst. Intracystic excrescences appeared in the left ovarian endometriotic cyst at five weeks and three days of gestation. The serum CA-125 level rose to 676.7 U/ml (normal, 0-35). Based on these findings, ovarian carcinoma arising from the left ovarian cyst was strongly suspected. Frequent sonographic examinations revealed that the sizes and quality of the intracystic excrescences remained essentially unchanged. The cyst was evaluated for DOEC during pregnancy. The patient eventually delivered a male infant by normal vaginal delivery. After the delivery, the intracystic excrescences in the left ovarian endometriotic cyst disappeared. Close observation may be a reasonable alternative to antepartum surgery in patients with a DOEC during pregnancy.
我们在此报告一例30岁女性病例，其在妊娠期间出现蜕膜化卵巢子宫内膜异位囊肿（DOEC），类似于因子宫内膜异位囊肿发生的卵巢癌在保留生育功能手术后出现的恶性肿瘤。妊娠5周零3天时，左卵巢子宫内膜异位囊肿内出现囊内赘生物。血清CA-125水平升至676.7 U/ml（正常范围为0 - 35）。基于这些发现，高度怀疑左卵巢囊肿发生了卵巢癌。频繁的超声检查显示囊内赘生物的大小和性质基本保持不变。该囊肿在妊娠期间被评估为DOEC。患者最终经正常阴道分娩产下一名男婴。分娩后，左卵巢子宫内膜异位囊肿内的囊内赘生物消失。对于妊娠期间患有DOEC的患者，密切观察可能是产前手术的合理替代方案。
