Bouzoubaa Wail, Jayi Sofia, Alaoui Fatima Zohra Fdili, Chaara Hikmat, Melhouf Moulay Abdelilah
Service de Gynécologie Obstétrique II, CHU Hassan II, Fès, Maroc.
Pan Afr Med J. 2017 Aug 9;27:263. doi: 10.11604/pamj.2017.27.263.6400. eCollection 2017.
Ovarian teratomas are tumors resulting from pluripotent germ cells. We here describe 3 different types of teratomas: mature, immature and monodermal teratomas. Immature teratoma accounts for less than 1% of ovarian cancers and mainly affects young subjects. We report the case of a 25 year female patient, admitted with abdomino pelvic mass. She underwent ultrasound and a pelvic CT scan followed by conservative treatment based on left annexectomy associated with multiple biopsies. Anatomopathological examination showed immature ovarian teratoma. Patient's treatment was supplemented by a hysterectomy with lumbo-aortic curage and omentectomy. We highlight, through this study and review of the literature, the predisposing factors for this type of rare and severe tumor and the radiological features suggesting these rare histological types of ovarian tumors, in order to improve the prognosis and multidisciplinary management of patients.
卵巢畸胎瘤是由多能生殖细胞产生的肿瘤。我们在此描述3种不同类型的畸胎瘤:成熟型、未成熟型和单胚层畸胎瘤。未成熟畸胎瘤占卵巢癌的比例不到1%,主要影响年轻患者。我们报告了一例25岁女性患者,因腹盆腔肿块入院。她接受了超声和盆腔CT扫描,随后基于左侧附件切除术联合多次活检进行了保守治疗。解剖病理学检查显示为未成熟卵巢畸胎瘤。患者的治疗补充了子宫切除术、腰主动脉清扫术和大网膜切除术。通过本研究和文献回顾,我们强调了这类罕见且严重肿瘤的诱发因素以及提示这些罕见组织学类型卵巢肿瘤的放射学特征,以改善患者的预后和多学科管理。