Pan Jiyong, Wang Shuang, Wang Hai, Fan Zhe
Department of General Surgery, The Third People's Hospital of Dalian, Dalian Medical University, Dalian, China.
Department of Endocrinology, The Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Front Oncol. 2019 Jul 2;9:580. doi: 10.3389/fonc.2019.00580. eCollection 2019.
Ectopic ovaries are a rare occurrence. A 33-year-old woman presented to our unit for evaluation of a 2-year history of sporadic abdominal pain that was becoming sharp and frequent. Computed tomography (CT) suggested a gastrointestinal tract mesenchymoma. An abdominal laparotomy was performed and the tumor was excised for pathologic evaluation. A rapid frozen section pathologic examination showed a solitary fibrous tumor (SFT). The final pathology report was an ectopic ovary with corpora lutea bleeding. Ectopic ovaries are benign and the present case is the first report involving an ectopic ovary mimicking a gastrointestinal stromal tumor (GIST). The patient recovered well after surgery. Maldevelopment of the genital tract can lead to ectopic ovaries and surgery is a good management choice. The present case provides a possible differential diagnosis for GISTs.
异位卵巢是一种罕见情况。一名33岁女性因间歇性腹痛2年且疼痛加剧、频率增加前来我院就诊。计算机断层扫描(CT)提示为胃肠道间叶瘤。遂行剖腹探查术,切除肿瘤进行病理评估。快速冰冻切片病理检查显示为孤立性纤维瘤(SFT)。最终病理报告为伴有黄体出血的异位卵巢。异位卵巢是良性的,本病例是首例将异位卵巢误诊为胃肠道间质瘤(GIST)的报道。患者术后恢复良好。生殖道发育异常可导致异位卵巢,手术是一种较好的治疗选择。本病例为GISTs提供了一种可能的鉴别诊断。