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肠型黏液性腺癌源于卵巢成熟囊性畸胎瘤:一例罕见病例报告及文献复习。

Mucinous adenocarcinoma of the intestinal type arising from mature cystic teratoma of the ovary: a rare case report and review of the literature.

机构信息

Department of Obstetrics and Gynecology, Osaka Medical College, 2-7, Daigaku-machi, Takatsuki, Osaka, 569-8686, Japan.

出版信息

J Ovarian Res. 2012 Dec 5;5(1):41. doi: 10.1186/1757-2215-5-41.

DOI:10.1186/1757-2215-5-41
PMID:23216975
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3524777/
Abstract

BACKGROUND

Mature cystic teratomas (MCTs) are the most common germ cell tumors of the ovary. Malignant tranformation occurs in 1-2% of these neoplasms. Although most of the malignancies arising from MCTs are squamous cell carcinomas, adenocarcinoma of the gastrointestinal type is extremery rare. We herein present a case of adenocarcinoma of the intestinal type arising from a MCT.

CASE

A 49-year-old female underwent surgery for a left ovarian tumor. The histology of the cyst walls revealed a MCT with a few hair shafts and a squamous layer, while another part of the tumor showed adenocarcinoma of the intestinal type. Five years after surgery, she is alive without disease.

摘要

背景

成熟囊性畸胎瘤(MCT)是卵巢最常见的生殖细胞肿瘤。这些肿瘤中有 1%-2%会发生恶性转化。尽管大多数源自 MCT 的恶性肿瘤为鳞状细胞癌,但胃肠道型腺癌极为罕见。本文报告一例源自 MCT 的肠型腺癌。

病例

一名 49 岁女性因左侧卵巢肿瘤接受手术。囊壁的组织学显示为 MCT,有少量毛发和鳞状上皮,而肿瘤的另一部分则表现为肠型腺癌。手术后 5 年,患者无病生存。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb7b/3524777/3b98c7a25d91/1757-2215-5-41-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb7b/3524777/e2418702818c/1757-2215-5-41-1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb7b/3524777/3b98c7a25d91/1757-2215-5-41-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb7b/3524777/e2418702818c/1757-2215-5-41-1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb7b/3524777/fc81235241fe/1757-2215-5-41-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb7b/3524777/b52f8dbfa478/1757-2215-5-41-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb7b/3524777/3b98c7a25d91/1757-2215-5-41-7.jpg

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Lancet Oncol. 2008 Dec;9(12):1173-80. doi: 10.1016/S1470-2045(08)70306-1.
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Adenocarcinoma arising from respiratory ciliated epithelium in benign cystic teratoma of the ovary: a case report with analyzes of the CT, MRI, and pathological findings.卵巢良性囊性畸胎瘤中起源于呼吸道纤毛上皮的腺癌:一例病例报告并分析CT、MRI及病理结果
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