具有卵巢扭转特征的卵巢小细胞癌：一例细胞病理学难题病例。

Ovarian small cell carcinoma by ovarian torsion feature: A cytopathology challenging case.

作者信息

Keikha Fatemeh, Hadizadeh Alireza, Akhavan Setareh, Nili Fatemeh, Eshghinejad Arefeh, Ghaemi Marjan

机构信息

Vali-E-Asr Reproductive Health Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Iran.

School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Int J Surg Case Rep. 2022 Jul;96:107337. doi: 10.1016/j.ijscr.2022.107337. Epub 2022 Jun 22.

DOI:10.1016/j.ijscr.2022.107337

PMID:35797874

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9284065/

Abstract

INTRODUCTION AND IMPORTANCE

Ovarian small cell carcinomas are a rare type of ovarian cancer that is highly aggressive and consists of two distinct types the hypercalcemic type (SCCOHT) and pulmonary type (SCCOPT).

CASE PRESENTATION

A 23 years old girl was admitted to the emergency room with the presentation of acute abdomen. The ultrasound and Magnetic resonance imaging revealed a right adnexal huge mass with adnexal torsion. In laparotomy, she underwent unilateral salpingo-oophorectomy due to ovarian torsion and possible malignancy. The histopathological evaluation was challenging and was finalized by a team of pathologists as hypercalcemic small cell carcinoma. She refused reoperation and unfortunately relapsed during chemotherapy and died 6 months after the initial diagnosis.

CLINICAL DISCUSSION

Conclusion: We do not yet have comprehensive information on small cell ovarian cancer. Cytopathology diagnosis is still challenging and the treatments are not usually effective. Further clinical trials and studies are recommended to find appropriate treatments for these patients.

摘要