Zhou Zhen Ni, Tierney Christina, Rodgers William H, Nguyen Long, Fishman David
Department of Obstetrics & Gynecology, Weill Cornell Medical College - New York Presbyterian Hospital, United States.
Department of Pathology, Weill Cornell Medical College and New York Presbyterian/Queens Hospital, United States.
Gynecol Oncol Rep. 2016 Jan 26;16:1-4. doi: 10.1016/j.gore.2016.01.003. eCollection 2016 Apr.
Ovarian cancer remains one of the leading causes of cancer-related deaths among women. Clear cell ovarian carcinoma is a rare histologic subtype accounting for 5-10% of all epithelial ovarian cancers and is often associated with endometriosis. Patients generally present with vague abdominal and pelvic complaints. However, patients can present in the acute setting with pleural effusions, ascites, bowel obstructions, and deep vein thrombosis.
A 54 year old woman presenting with an acute abdomen secondary to rupture of ovarian clear cell carcinoma.
Ovarian clear cell carcinoma should remain in the differential diagnosis in a patient presenting with an acute abdomen and imaging suspicious for a gynecologic malignancy originating from the ovary.
卵巢癌仍然是女性癌症相关死亡的主要原因之一。透明细胞卵巢癌是一种罕见的组织学亚型，占所有上皮性卵巢癌的5% - 10%，且常与子宫内膜异位症相关。患者通常表现为腹部和盆腔的模糊不适。然而，患者也可能在急性情况下出现胸腔积液、腹水、肠梗阻和深静脉血栓形成。
一名54岁女性因卵巢透明细胞癌破裂导致急腹症就诊。
对于出现急腹症且影像学检查怀疑源自卵巢的妇科恶性肿瘤的患者，卵巢透明细胞癌应保留在鉴别诊断范围内。
