Ting Yang, Yang L I, Juan Zhao, Xing Wei, Feng Yang Xiao
Department of Obstetrics and Gynecology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi 710061, P.R. China.
Mol Clin Oncol. 2016 Jun;4(6):1003-1005. doi: 10.3892/mco.2016.853. Epub 2016 Apr 7.
Previous clinical reports of benign ovarian thecoma, associated with hydrothorax, are rare. The present study presents the case of a 58-year-old women exhibiting right massive pleural effusions and elevated cancer antigen (CA)125, and a pelvic ultrasound revealed a hypoechoic mass. An exploratory laparotomy was subsequently performed. During the surgery, the left ovary measured 20×15×15 cm and had a smooth surface with no excrescences or papillary projections. The patient underwent right salpingo-oophorectomy. Pathological diagnosis was determined as benign ovarian thecoma. The chest radiograph revealed no pleural effusion 6 days following the surgery. The present case demonstrated a benign ovarian thecoma, associated with massive hydrothorax and elevated CA125, which mimicked an ovarian malignancy.
既往关于伴有胸腔积液的良性卵巢卵泡膜细胞瘤的临床报道较为罕见。本研究报告了一例58岁女性病例，该患者出现右侧大量胸腔积液且癌抗原（CA）125升高，盆腔超声检查发现一个低回声肿块。随后进行了剖腹探查术。手术中，左侧卵巢大小为20×15×15 cm，表面光滑，无赘生物或乳头状突起。患者接受了右侧输卵管卵巢切除术。病理诊断为良性卵巢卵泡膜细胞瘤。术后6天胸部X线片显示无胸腔积液。本病例显示了一例伴有大量胸腔积液和CA125升高的良性卵巢卵泡膜细胞瘤，其表现类似于卵巢恶性肿瘤。
