Brzika Sanela, Rašić Ismar, Bektešević Admir, Gavrankapetanović Ali, Hasić Nedim, Pašović Salko
Department of Surgery, General Hospital, Sarajevo 71 000, Bosnia and Herzegovina.
J Surg Case Rep. 2022 May 27;2022(5):rjac243. doi: 10.1093/jscr/rjac243. eCollection 2022 May.
Female adnexal tumors of probable Wolffian origin (FATWOs) are extremely rare tumors, with only around 100 cases published worldwide. FATWOs are most frequently found in the broad ligament, but these can also appear in the mesosalpinx, Fallopian tube, ovary, paravaginal region or peritoneum. We present a case of a 68-year-old female with a history of painless abdominal distension and frequent urination, with palpable big abdominal mass. Initial diagnosis was made using ultrasound and computed tomography scan that showed 22 × 21-cm tumor with solid and cystic components. Blood test showed elevated serum levels of CA 125, HE4 and Roma index. Intraoperatively, a large abdominopelvic encapsulated mass, fixated to surrounding tissue, was found. Our patient underwent hysterectomy 12 years ago. Total tumor resection, including bilateral adnexectomy, was performed. At 6 months of following, there was no evidence of disease. Here, we report extremely rare abdominal tumors and one of the biggest FATWOs reported so far.
可能起源于沃尔夫管的女性附件肿瘤（FATWOs）是极为罕见的肿瘤，全球仅发表了约100例病例。FATWOs最常出现在阔韧带中，但也可出现在输卵管系膜、输卵管、卵巢、阴道旁区域或腹膜。我们报告一例68岁女性，有无痛性腹胀和尿频病史，可触及腹部巨大肿块。最初通过超声和计算机断层扫描进行诊断，显示一个22×21厘米的肿瘤，有实性和囊性成分。血液检查显示血清CA 125、HE4和Roma指数升高。术中发现一个大的盆腔腹膜内包块，与周围组织粘连。我们的患者12年前接受过子宫切除术。进行了包括双侧附件切除术在内的肿瘤全切术。随访6个月时，无疾病迹象。在此，我们报告了这种极为罕见的腹部肿瘤，也是迄今为止报告的最大的FATWOs之一。
