Zygouris D, Leontara V, Makris G M, Chrelias C, Trakakis E, Christodoulaki Ch, Panagopoulos P
3rd Deptartment of Obstetrics & Gynaecology University of Athens, Greece.
Eur J Gynaecol Oncol. 2012;33(3):324-5.
To present a case of a young woman with ovarian endometrioid adenocarcinoma arising from an endometriotic cyst and review of the literature.
A 33-year-old woman, gravid 2, para 2 was admitted to our department with a 5 cm adnexal mass. Diagnostic laparoscopy was performed and pathological examination demonstrated an endometriotic cyst with an area of an ovarian endometrioid adenocarcinoma well differentiated, with no capsular invasion. One month after the operation the patient underwent MRI which revealed a 6 cm mass in the Douglas pouch. The multidisciplinary oncology council decided on exploratory laparotomy, which revealed no pathology. After that the multidisciplinary oncology council decided on adjuvant chemotherapy and the patient received four cycles of carboplatin/taxol.
It should always be considered that even when there are no risk factors for malignancy occurrence, a high index of suspicion is necessary and will help to prevent delay in the diagnosis of this rare neoplasm.
报告一例起源于子宫内膜异位囊肿的年轻女性卵巢子宫内膜样腺癌病例并进行文献复习。
一名33岁女性，孕2产2，因附件区5cm肿物入院。行诊断性腹腔镜检查，病理检查显示为子宫内膜异位囊肿，伴有卵巢子宫内膜样腺癌区域，分化良好，无包膜侵犯。术后1个月患者接受MRI检查，发现Douglas窝有一个6cm肿物。多学科肿瘤委员会决定行剖腹探查术，结果未发现病变。此后，多学科肿瘤委员会决定进行辅助化疗，患者接受了四个周期的卡铂/紫杉醇化疗。
应始终考虑到，即使不存在恶性肿瘤发生的危险因素，也需要高度怀疑，这将有助于防止这种罕见肿瘤的诊断延误。
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