Yokomizo Ryo, Misawa Akihiko, Muto Miki, Nakajima Akari, Izumi Akinobu, Nagae Seika, Yamamura Nami, Odajima Suguru, Takahashi Akiko Tanuma
Department of Obstetrics and Gynecology, Chigasaki Municipal Hospital, Chigasaki, Japan.
Gynecol Minim Invasive Ther. 2018 Jan-Mar;7(1):40-43. doi: 10.4103/GMIT.GMIT_2_17. Epub 2018 Feb 16.
Ovarian epidermoid cyst, an extremely rare tumor occurring mostly in older females, is lined by mature stratified squamous epithelium and distinguishable from mature teratoma by the absence of skin adnexae and other tissues. In imaging, these tumors resemble solid tumors, necessitating most patients to undergo oophorectomy to verify malignancy. We herein present the case of an ovarian epidermoid cyst in a pregnant woman who underwent laparoscopic cystectomy after delivery with preserved ovarian function. To the best of our knowledge, this is the first case report of an ovarian epidermoid cyst that was detected during pregnancy and treated with laparoscopic cystectomy. Preservation of ovarian function and application of minimally invasive surgery should be strongly considered in young patients with ovarian epidermoid cysts.
卵巢表皮样囊肿是一种极为罕见的肿瘤，多见于老年女性，由成熟的复层鳞状上皮衬里，因缺乏皮肤附属器和其他组织而与成熟畸胎瘤相区别。在影像学检查中，这些肿瘤类似实体瘤，大多数患者需要接受卵巢切除术以验证是否为恶性肿瘤。我们在此报告一例孕妇卵巢表皮样囊肿的病例，该孕妇在分娩后接受了腹腔镜囊肿切除术，卵巢功能得以保留。据我们所知，这是首例在孕期发现并接受腹腔镜囊肿切除术治疗的卵巢表皮样囊肿病例报告。对于患有卵巢表皮样囊肿的年轻患者，应强烈考虑保留卵巢功能并应用微创手术。
