Özcan Hüseyin Çağlayan, Uğur Mete Gürol, Gündüz Reyhan, Bozdağ Zehra, Kutlar İrfan
Gaziantep University Faculty of Medicine, Department of Obstetrics and Gynecology, Gaziantep, Turkey.
Gaziantep University Faculty of Medicine, Department of Pathology, Gaziantep, Turkey.
Turk J Obstet Gynecol. 2015 Dec;12(4):251-253. doi: 10.4274/tjod.87259. Epub 2015 Dec 15.
The differential diagnosis of cystic adnexal masses includes various pathologies, some placed extragonadally. Herein, we present two different cases of omental ovarian dermoid tumours that were diagnosed using ultrasonography and removed with surgery. The greater part of the omental teratomas appear to have developed from self-amputation of cysts in the ovary, followed by their re-implantation into the omentum. Omental teratomas can be located in the pelvis, where they might be mistaken for an adnexal mass, an upper abdominal mass, or a periumbilical mass. The location of omental teratomas might slightly change from one examination to another. In such cases, preoperative diagnostic imaging methods may not provide adequate information to physicians. Gynecologists should always keep in mind the possibility of intraabdominal ovarian parasitic cystic teratomas in the differential diagnosis of suspicious adnexal masses during surgery. Awareness among gynecologic surgeons of such masses may help prevent misdiagnosis, delayed surgery, or the use of wrong surgical approaches.
附件囊性肿块的鉴别诊断包括多种病理情况，有些位于性腺外。在此，我们介绍两例经超声诊断并通过手术切除的网膜卵巢皮样囊肿病例。大部分网膜畸胎瘤似乎是由卵巢囊肿自行脱落，随后重新种植到网膜中发展而来。网膜畸胎瘤可位于盆腔，在此可能被误诊为附件肿块、上腹部肿块或脐周肿块。网膜畸胎瘤的位置在不同检查中可能会略有变化。在这种情况下，术前诊断成像方法可能无法为医生提供足够的信息。妇科医生在手术中对可疑附件肿块进行鉴别诊断时，应始终牢记腹腔内卵巢寄生性囊性畸胎瘤的可能性。妇科外科医生对这类肿块的认识有助于防止误诊、手术延迟或采用错误的手术方法。
