卵巢囊腺癌与腹膜假黏液瘤。
Ovarian cystadenocarcinoma and pseudomyxoma peritonei.
作者信息
Liu Lili, Sun Li, Wang Jianhong, Ji Genlin, Chen Biliang, Zhang Hongo
机构信息
Institute of Digestive Diseases Xijing Hospital, Fourth Military Medical University, Xi'an, China.
出版信息
BMJ Case Rep. 2010 Jul 7;2010:bcr0620080137. doi: 10.1136/bcr.06.2008.0137.
BACKGROUND
Mucoceles resulting from cystadenomas of the ovary are uncommon. Although rare, rupture of the mucoceles can occur without causing any abdominal issue. This report concerns an unusual and interesting case of the right ovary associated with liver, spleen and kidney cysts.
CASE PRESENTATION
A case of ruptured mucocele resulting from cystadenoma of the ovary occurred in a 63-year-old woman. The patient underwent x-ray, ultrasound and a CT scan. Localised pseudomyxoma peritonei associated with adenocarcinoma of the right ovary was diagnosed. The patient underwent resection of the ovary, uterus, uterine tube and appendix with excision of the mesenteric lymph nodes and removal of about 5000 ml of yellowish mucoid jelly. She was free of symptoms at 1-year follow-up.
CONCLUSIONS
Pseudomyxoma peritonei may occur in patients with ovarian cystadenocarcinoma. In such patients, the ovary should be investigated and transvaginal ultrasound can be carefully performed in cases of ruptured mucoceles and localised pseudomyxoma peritonei. Surgical intervention is the current choice of management.
背景
卵巢囊腺瘤引起的黏液囊肿并不常见。虽然罕见，但黏液囊肿破裂可能不会引发任何腹部问题。本报告涉及一例与肝脏、脾脏和肾囊肿相关的右侧卵巢的罕见且有趣的病例。
病例介绍
一名63岁女性发生了由卵巢囊腺瘤引起的黏液囊肿破裂。患者接受了X线、超声和CT扫描。诊断为与右侧卵巢腺癌相关的局限性腹膜假黏液瘤。患者接受了卵巢、子宫、输卵管和阑尾切除，同时切除了肠系膜淋巴结，并清除了约5000毫升淡黄色黏液样物。1年随访时患者无症状。
结论
腹膜假黏液瘤可能发生于卵巢囊腺癌患者。对于此类患者，应检查卵巢，对于黏液囊肿破裂和局限性腹膜假黏液瘤患者，可谨慎进行经阴道超声检查。手术干预是目前的治疗选择。
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