双侧纯原发性非妊娠性卵巢绒毛膜癌极为罕见病例。
Extremely Rare Case of Bilateral Pure Primary Non-Gestational Ovarian Choriocarcinoma.
作者信息
Syed Moinullah, Meshram Shefali, Deshpande Pooja, Parida Bikash
机构信息
Department of Radiodiagnosis, Byramjee Jeejeebhoy Government Medical College and Sassoon General Hospitals, Poona, Maharashtra, India.
出版信息
Pol J Radiol. 2017 Sep 15;82:547-550. doi: 10.12659/PJR.902578. eCollection 2017.
BACKGROUND
Germ cell tumors of the ovary constitute less than one percent of ovarian tumors worldwide. Choriocarcinoma arising from the ovary is very rare and only occasionally reported in the literature. Herein, we report a case of bilateral non-gestational pure primary ovarian choriocarcinoma that was confirmed by beta human chorionic gonadotropin (β-HCG) levels and histopathology.
CASE REPORT
Our case is of a middle-aged multiparous female who presented with amenorrhea for three months. She underwent an evaluation with ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI), which revealed bilateral bulky solid adnexal masses. Based on an increased blood level of the beta human chorionic gonadotropin and a histopathological examination, the diagnosis of bilateral non-gestational pure primary ovarian choriocarcinoma was made.
CONCLUSIONS
The imaging findings were found to be specific for bilateral non-gestational pure primary ovarian choriocarcinoma.
背景
在全球范围内，卵巢生殖细胞肿瘤占卵巢肿瘤的比例不到1%。卵巢原发性绒毛膜癌非常罕见，文献中仅有偶尔报道。在此，我们报告一例经β-人绒毛膜促性腺激素（β-HCG）水平及组织病理学确诊的双侧非妊娠性纯原发性卵巢绒毛膜癌病例。
病例报告
我们的病例是一位经产妇中年女性，出现闭经3个月。她接受了超声（US）、计算机断层扫描（CT）和磁共振成像（MRI）检查，结果显示双侧附件区有巨大实性肿块。基于β-人绒毛膜促性腺激素水平升高及组织病理学检查，诊断为双侧非妊娠性纯原发性卵巢绒毛膜癌。
结论
影像学表现被发现对双侧非妊娠性纯原发性卵巢绒毛膜癌具有特异性。
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