Petousis Stamatios, Kalogiannidis Ioannis, Margioula-Siarkou Chrysoula, Traianos Alexandros, Miliaras Dimosthenis, Kamparoudis Apostolos, Mamopoulos Apostolos, Rousso David
3rd Department of Obstetrics and Gynaecology, Aristotle University of Thessaloniki, Konstantinoupoleos 49, 54642, Greece.
Case Rep Obstet Gynecol. 2013;2013:108582. doi: 10.1155/2013/108582. Epub 2013 Jul 25.
Introduction. Coexistence of carcinoid tumor inside a mature cystic teratoma is an extremely rare phenomenon, especially in young women. We present the case of a 28-year-old woman diagnosed with a right ovarian carcinoid and treated uneventfully with conservative surgical approach. Case Report. A 28-year-old woman, gravid 0, parity 0, presented to our department for her annual gynecological examination and Pap smear test. During her examination, a mobile cystic mass was detected in the right lower abdomen. Ultrasound indicated a right ovarian mass 10.5 × 6.3 cm, confirmed by CT scan. Further investigation revealed AFP levels (1539 ng/mL). The ovarian mass was excised by laparoscopy, leaving intact the remaining right ovary. Frozen sections showed a mature cystic teratoma. However, paraffin sections revealed the presence of a small carcinoid within the teratoma's gastric-type mucosa. The patient was set to a close followup. Nine months postoperatively, ultrasound pelvis imaging and CT scan of the abdomen as well as serum tumor markers have shown no evidence of recurrence disease. Conclusion. Despite the weak evidence, fertility spare surgical approach for women wanting to preserve their genital tract might be a reasonable option.
引言。成熟性囊性畸胎瘤内并存类癌肿瘤是一种极其罕见的现象，尤其在年轻女性中。我们报告一例28岁女性被诊断为右侧卵巢类癌，并采用保守手术方法顺利治疗的病例。病例报告。一名28岁未孕未产女性因年度妇科检查和巴氏涂片检查前来我院就诊。检查期间，在右下腹部发现一个可活动的囊性肿物。超声显示右侧卵巢肿物大小为10.5×6.3厘米，CT扫描予以证实。进一步检查显示甲胎蛋白水平（1539纳克/毫升）。通过腹腔镜切除卵巢肿物，保留右侧卵巢其余部分。冰冻切片显示为成熟性囊性畸胎瘤。然而，石蜡切片显示在畸胎瘤的胃型黏膜内存在一个小类癌。该患者被安排密切随访。术后九个月，盆腔超声成像、腹部CT扫描以及血清肿瘤标志物均未显示复发疾病迹象。结论。尽管证据不足，但对于希望保留生殖道的女性，保留生育功能的手术方法可能是一个合理选择。
