儿童额外卵巢中的成熟畸胎瘤：首例病例报告。
Mature Teratoma in a Supernumerary Ovary in a Child: Report of the First Case.
作者信息
Gupta Ruchika, Verma Sarika, Bansal Kalpana, Jain Vishesh, Sengar Mamta, Mohta Anup
机构信息
Department of Pathology, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, India.
Department of Pathology, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, India.
出版信息
J Pediatr Adolesc Gynecol. 2016 Feb;29(1):e5-7. doi: 10.1016/j.jpag.2015.07.005. Epub 2015 Aug 1.
BACKGROUND
Supernumerary ovary (ie, ovarian ectopia having no anatomic connection with the normally placed ovaries) is a rare gynecologic condition. To the best of our knowledge, only 1 pediatric case of supernumerary ovary has been reported to date in the English literature.
CASE
A 4-year-old girl was assessed for foul-smelling vestibular discharge and was found to have a fistulous tract with opening near the vaginal orifice. Fistuloscopy revealed hair in the lumen of the tract. Computed tomography scan showed a retroperitoneal mass in continuation of the tract. Excision of the mass revealed a mature teratoma in a retroperitoneal supernumerary ovary.
SUMMARY AND CONCLUSION
Supernumerary ovary, a gynecologic rarity, is even more uncommon in children. Hence, a thorough clinical-radiological-pathological correlation is mandatory to diagnose extragonadal ovarian tumors arising in supernumerary ovaries.
背景
额外卵巢（即与正常位置的卵巢无解剖学连接的卵巢异位）是一种罕见的妇科疾病。据我们所知，迄今为止英文文献中仅报道过1例小儿额外卵巢病例。
病例
一名4岁女孩因前庭有恶臭分泌物而接受评估，发现阴道开口附近有一个瘘管。瘘管镜检查发现瘘管腔内有毛发。计算机断层扫描显示该瘘管延续至腹膜后有一肿块。切除该肿块后发现腹膜后额外卵巢内有一个成熟畸胎瘤。
总结与结论
额外卵巢是一种罕见的妇科疾病，在儿童中更为少见。因此，对于额外卵巢中发生的性腺外卵巢肿瘤，必须进行全面的临床-放射学-病理学相关性分析以明确诊断。
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