Sageshima M, Masuda H, Kawamura K, Shozawa T
Department of Laboratory Medicine, Akita University School of Medicine, Japan.
Acta Pathol Jpn. 1990 Jan;40(1):73-8. doi: 10.1111/j.1440-1827.1990.tb01532.x.
A 14-year-old girl with massive ovarian edema (MOE) of the right ovary and a polycystic ovary is presented. The right ovary was moderately enlarged and incompletely twisted. Histologically, it showed diffuse interstitial edema and multiple cysts, frequently surrounded by a line of luteinized cells. Such cysts are suspected to consist of highly degenerative ovarian follicles, in addition to an edematous corpus albicans and cystic change in the edematous stroma. Focal edematous change and occasional indefinite cystic structures, as seen in the left polycystic ovary of our patient, indicate an early stage of MOE. The pathogenesis of MOE in the present case was therefore suspected to be based on the underlying state of bilateral polycystic ovary. The luteinized cells would have been derived from granulosa cells and from the internal theca cells of the follicles in addition to stromal cells.
本文报告了一名14岁女孩，其右侧卵巢存在巨大卵巢水肿（MOE）并伴有多囊卵巢。右侧卵巢中度肿大且发生不完全扭转。组织学检查显示弥漫性间质水肿和多个囊肿，囊肿周围常可见一层黄素化细胞。除了白色萎缩组织水肿和水肿性间质的囊性变外，此类囊肿疑似由高度退化的卵巢卵泡构成。在我们患者的左侧多囊卵巢中可见局灶性水肿改变和偶尔出现的不确定囊性结构，提示处于MOE的早期阶段。因此，本病例中MOE的发病机制被怀疑基于双侧多囊卵巢的潜在状态。黄素化细胞可能来源于颗粒细胞、卵泡的内膜细胞以及间质细胞。
