Oshima Yuki, Kidokoro Yoshiteru, Araki Kunio, Kubouchi Yasuaki, Yurugi Youhei, Wakahara Makoto, Matsuoka Yuki, Miwa Ken, Taniguchi Yuji, Nakamura Hiroshige
Department of Thoracic Surgery, Tottori University, Yonago, Japan.
Kyobu Geka. 2017 Feb;70(2):105-110.
We experienced 2 cases of Müllerian cyst. Case 1 was a 48-year-old woman with a paravertebral cystic tumor. The tumor grew from 23 to 31 mm in diameter for the 3 years. She underwent video-assisted thoracic surgery(VATS) for the excision of the tumor. Case 2 was a 40-year-old woman with a paravertebral cystic tumor, who underwent VATS. The Histological finding showed that the tumors of both cases were the cysts lined by non-stratified cuboidal to columnar epithelium and epithelial cells were positive in the nucleus with estrogen receptor immunohistochemically. The resected cysts were finally diagnosed as Müllerian cyst. Twenty four published cases of Müllerian cyst were reported before, including symptomatic and growing cases. There were some reports of malignant transformation in cases of pelvic origin.
我们遇到了2例苗勒管囊肿。病例1是一名48岁女性，患有椎旁囊性肿瘤。该肿瘤在3年时间里直径从23毫米增长到31毫米。她接受了电视辅助胸腔镜手术（VATS）以切除肿瘤。病例2是一名40岁女性，患有椎旁囊性肿瘤，也接受了VATS手术。组织学检查发现，两例病例的肿瘤均为内衬非分层立方到柱状上皮的囊肿，免疫组化显示上皮细胞核内雌激素受体呈阳性。切除的囊肿最终被诊断为苗勒管囊肿。此前曾报道过24例已发表的苗勒管囊肿病例，包括有症状和肿瘤生长的病例。有一些关于盆腔来源病例发生恶性转化的报道。
