Sailer V, Huss S, Wardelmann E, Müller A M
Institut für Pathologie, Universitätsklinik Bonn, Bonn, Deutschland.
Pathologe. 2013 Nov;34(6):563-5. doi: 10.1007/s00292-013-1762-5.
Massive ovarian edema is a rare tumor-like condition found in young women resulting from accumulation of fluid mostly due to partial or intermittent torsion of the ovary or secondary, to a preexisting ovarian lesion. We report a case of a 13-year-old girl presenting with an ovarian mass measuring 16 cm. CA-12-5 levels were slightly elevated. Concerns regarding underlying malignancy led to salpingo-oophorectomy. Pathological evaluation revealed a massive ovarian edema and multiple thromboses of ovarian veins. Differentiating massive ovarian edema from malignant ovarian tumor is crucial to prevent patients from undergoing unnecessary surgery.
巨大卵巢水肿是一种罕见的肿瘤样病症,多见于年轻女性,主要是由于卵巢部分或间歇性扭转,或继发于先前存在的卵巢病变而导致液体蓄积。我们报告一例13岁女孩,其卵巢肿物大小为16厘米。CA - 125水平略有升高。对潜在恶性肿瘤的担忧导致了输卵管卵巢切除术。病理评估显示为巨大卵巢水肿和多条卵巢静脉血栓形成。将巨大卵巢水肿与恶性卵巢肿瘤区分开来对于防止患者接受不必要的手术至关重要。