Shang H S, Chao T K, Wu G Z, Yu C P
Department of Pathology, Tri-Service General Hospital and National Defense Medical Center, Taipei, Taiwan.
Eur J Gynaecol Oncol. 2011;32(6):677-9.
Clear cell carcinomas and endometrioid carcinomas are associated with endometriosis. The association of clear cell carcinomas with mucinous lesions has only been reported infrequently, and with mucinous cystadenoma has been rarely reported. This is the second reported case of the coexistence of ovarian clear cell carcinoma, mucinous cystadenoma, and endometriosis in the same ovary. A 57-year-old woman presented with lower abdominal pain for three weeks. Ultrasonography revealed a 16 x 14 x 10 cm mass in the left ovary with solid and cystic components. Hysterectomy and bilateral salpingo-oophorectomy were performed. Histopathological examination of the left ovary revealed the presence of clear cell carcinoma, mucinous cystadenoma, and endometriosis. Continuity between the areas of mucinous epithelium and clear cell carcinoma were noted; this may suggest that clear cell carcinoma may arise from endometriosis or mucinous cystic tumors.
透明细胞癌和子宫内膜样癌与子宫内膜异位症相关。透明细胞癌与黏液性病变的关联仅偶尔有报道，而与黏液性囊腺瘤的关联则鲜有报道。这是第二例报道的同一卵巢中同时存在卵巢透明细胞癌、黏液性囊腺瘤和子宫内膜异位症的病例。一名57岁女性因下腹部疼痛三周就诊。超声检查显示左卵巢有一个16×14×10 cm的肿物，有实性和囊性成分。行子宫切除术和双侧输卵管卵巢切除术。对左卵巢的组织病理学检查显示存在透明细胞癌、黏液性囊腺瘤和子宫内膜异位症。黏液上皮区域与透明细胞癌之间存在连续性；这可能提示透明细胞癌可能起源于子宫内膜异位症或黏液性囊性肿瘤。
