Department of Obstetrics and Gynecology, Taoyuan Armed Forces General Hospital, No,168, Zhongxing Rd,, Longtan Township, Taoyuan County, 32551, Taiwan.
BMC Womens Health. 2014 Apr 13;14:57. doi: 10.1186/1472-6874-14-57.
Ovarian mature cystic teratomas are common, benign, pelvic tumors that are easily detected by pelvic ultrasonography. However, patients with recurrent teratomas are rarely noted, and cases of bilateral teratomas are even less common.
A young woman with a recurrent, right ovarian teratoma had previously undergone surgical removal 2 times. After the second surgery, she underwent regular out-patient follow-up, and no residual tumor was observed. However, 3 years after the second surgery, she developed recurrent, bilateral ovarian teratomas, in conjunction with elevated carbohydrate antigen-125 levels.
Routine checking of the contralateral ovary during the surgical procedure along with frequent postoperative pelvic sonography for both ovaries in the patient at high recurrence rich is necessary. Additionally, the features of that kind tumor may mislead the surgeon into performing more extensive surgery that might compromise the fertility of young patients.
卵巢成熟囊性畸胎瘤是常见的、良性的盆腔肿瘤，通过盆腔超声很容易检测到。然而，复发性畸胎瘤患者很少被注意到，双侧畸胎瘤的病例更为罕见。
一名年轻女性患有复发性右侧卵巢畸胎瘤，此前已接受过 2 次手术切除。第二次手术后，她定期进行门诊随访，未发现残留肿瘤。然而，在第二次手术后 3 年，她出现双侧复发性卵巢畸胎瘤，同时伴有糖链抗原 125 水平升高。
对于高复发风险的患者，在手术过程中常规检查对侧卵巢，并经常对双侧卵巢进行术后盆腔超声检查是必要的。此外，这种肿瘤的特征可能会误导外科医生进行更广泛的手术，从而损害年轻患者的生育能力。
