Preshaw Jessica, Sherpa Toshi, Pawade Joya, Vyas Sanjay
North Bristol NHS Trust, Bristol, UK.
BMJ Case Rep. 2019 Mar 31;12(3):e227630. doi: 10.1136/bcr-2018-227630.
A 52-year-old woman with a background of vaginal hysterectomy for heavy menstrual bleeding underwent an elective laparoscopic adhesiolysis, left salpingo-oophorectomy for left-sided pelvic pain, and a right salpingectomy. Despite a grossly normal appearance, histology revealed a rare presentation of mature teratoma with insular carcinoid tumour arising from the left fallopian tube. Even though the salpingectomy was thought to be curative, the patient underwent a second operation to remove her remaining right ovary as a precaution against malignant spread. In light of limited information in such rare cases, counselling on best management and discussion of risks to guide patient decision making remains challenging.
一名52岁女性，因月经过多接受了阴道子宫切除术，之后因左侧盆腔疼痛接受了择期腹腔镜粘连松解术、左侧输卵管卵巢切除术及右侧输卵管切除术。尽管外观大体正常，但组织学检查显示为一种罕见的成熟畸胎瘤表现，伴有起源于左侧输卵管的岛状类癌肿瘤。尽管认为输卵管切除术具有治愈性，但为预防恶性扩散，患者还是接受了第二次手术以切除剩余的右侧卵巢。鉴于此类罕见病例的信息有限，提供关于最佳治疗方案的咨询以及讨论风险以指导患者决策仍然具有挑战性。
