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一例卵巢自动脱落伴成熟性囊性畸胎瘤的罕见病例。

A Rare Case of an Autoamputated Ovary with Mature Cystic Teratoma.

作者信息

Kim Hwi Gon, Song Yong Jung, Na Yong Jin, Yang Juseok, Choi Ook Hwan

机构信息

Department of Obstetrics and Gynecology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea.

出版信息

J Menopausal Med. 2017 Apr;23(1):74-76. doi: 10.6118/jmm.2017.23.1.74. Epub 2017 Apr 28.

Abstract

Autoamputated ovary with mature cystic teratoma (MCT) is a rarely reported gynecologic entity with an unknown prevalence. A 34-year-old woman referred to our clinic for presumed left ovarian tumor. Pelvic examination, ultrasonography and computed tomography scan revealed a 5-cm, cystic ovarian mass with calcification and fat component, and tumor markers were as follows, cancer antigen (CA) 125; 10.4 U/mL, CA19-9; 2 U/mL. Laparoscopy was performed. The mass was identified in the left adnexal region without any ligamentous or direct connection with the pelvic organs. The right ovary was normal. However, the left ovary and the tube could not be identified in its proper anatomical location. The mass was successfully removed with sharp and blunt dissection. A review of histopathologic study revealed a MCT. The patient became pregnant within seven months and gave birth to a healthy baby by cesarean section. We present a rare case of an autoamputated ovary with MCT.

摘要

自截卵巢伴成熟囊性畸胎瘤(MCT)是一种报道较少的妇科疾病,其患病率未知。一名34岁女性因疑似左侧卵巢肿瘤转诊至我院。盆腔检查、超声检查和计算机断层扫描显示一个5厘米的囊性卵巢肿物,伴有钙化和脂肪成分,肿瘤标志物如下:癌抗原(CA)125为10.4 U/mL,CA19-9为2 U/mL。进行了腹腔镜检查。在左侧附件区发现肿物,与盆腔器官无任何韧带相连或直接连接。右侧卵巢正常。然而,左侧卵巢和输卵管在其正常解剖位置无法找到。通过锐性和钝性分离成功切除肿物。组织病理学研究显示为MCT。患者在七个月内怀孕,并通过剖宫产分娩了一个健康的婴儿。我们报告了一例罕见的自截卵巢伴MCT病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/332e/5432471/a99c4c16e2a6/jmm-23-74-g001.jpg

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