Atileh Luay Ibrahim Abu, Dahbour Duaa, Hammo Hasan, Abdullattif Mai
Department of Obstetrics and Gynecology, Jordan Ministry of Health, Al Bashir Hospital, Amman, Jordan.
University of Jordan, Faculty of Medicine, Amman, Jordan.
Gynecol Minim Invasive Ther. 2020 Jan 23;9(1):39-41. doi: 10.4103/GMIT.GMIT_110_18. eCollection 2020 Jan-Mar.
Paratubal cysts (PTCs) are remnants of the paramesonephric or the mesonephric ducts that are present during embryogenesis. They are mostly benign; however, malignancy has been described. The incidence of PTCs is estimated to be 5%-20% of all adnexal masses. They can present in any age group but most commonly the third or fourth decades. Huge PTCs exceeding 10-15 cm in diameter are considered rare and challenging, as only a few cases have been reported that describe complete laparoscopic excision. A simple asymptomatic PTC can be managed expectantly; however, surgery is mandatory if the cyst is huge, complicated, or causes severe symptoms. In this article, we describe a laparoscopic removal of a 40-cm PTC in a 32-year- old woman, as the largest PTC in literature that was removed by laparoscopy.
输卵管旁囊肿（PTCs）是胚胎发育过程中副中肾管或中肾管的残余物。它们大多是良性的；然而，也有恶性的报道。PTCs的发生率估计占所有附件肿块的5%-20%。它们可出现在任何年龄组，但最常见于第三或第四个十年。直径超过10-15厘米的巨大PTCs被认为是罕见且具有挑战性的，因为仅有少数病例报道了完整的腹腔镜切除。单纯无症状的PTC可进行观察处理；然而，如果囊肿巨大、复杂或引起严重症状，则必须进行手术。在本文中，我们描述了一名32岁女性的40厘米PTC的腹腔镜切除术，这是文献中经腹腔镜切除的最大PTC。
