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[瓦希古亚地区教学医院(布基纳法索)的一例卵巢大黏液性囊腺瘤病例]

[A case of large Mucinous Cystadenoma of the Ovary at the Regional Teaching Hospital of Ouahigouya (Burkina Faso)].

作者信息

Sanogo Moussa, Sib Sansan Rodrigue, Ouédraogo Issa, Sanogo Korotimi, Sawadogo Ibrahim, Zamané Hyacinthe, Bonané Blandine

机构信息

Centre hospitalier universitaire régional (CHUR) de Ouahigouya, Burkina Faso.

Centre hospitalier universitaire Yalgado Ouédraogo, Ouagadougou, Burkina Faso.

出版信息

Med Trop Sante Int. 2022 Jun 20;2(2). doi: 10.48327/mtsi.v2i2.2022.187. eCollection 2022 Jun 30.

DOI:10.48327/mtsi.v2i2.2022.187
PMID:35919249
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9326776/
Abstract

INTRODUCTION

A benign tumor of middle-aged women, mucinous cystadenoma accounts for about 20% of tumors of the ovary. It can reach very large sizes.

CLINICAL OBSERVATION

We report the case of a 42-year-old patient received for a voluminous abdomino-pelvic mass. The examination found a soft, rounded, fairly mobile abdomino-pelvic mass going up to the level of the xiphoid appendix with a light skin and collateral venous circulation. Imaging showed a circumscribed fluid formation occupying the abdomino-pelvic cavity of 40.1 x 29 x 25.7 cm developed at the expense of the ovary. A laparotomy brought to light a voluminous cyst at the expense of the left ovary with fluid content cowardly adhering to the abdominal wall and intimately to the left proboscis. The uterus and right adnexa were unremarkable. We performed a left adnexectomy with satisfactory hemostasis taking away the cyst. The adnexectomy piece weighed 13.5 kg. The surgical follow-ups were simple. Anatomo-pathological examination confirmed a mucinous cystadenoma of the ovary.

CONCLUSION

Mucinous cystadenoma of the ovary is a benign tumor which can reach very large volumes. Its treatment is surgical and the follow-ups are usually simple.

摘要

引言

黏液性囊腺瘤是中年女性的一种良性肿瘤,约占卵巢肿瘤的20%。它可以长得非常大。

临床观察

我们报告一例42岁患者,因腹盆腔巨大肿物前来就诊。检查发现一个柔软、圆形、活动度尚可的腹盆腔肿物,上达剑突水平,皮肤轻度改变且有侧支静脉循环。影像学检查显示一个边界清晰的液性结构,占据腹盆腔,大小为40.1×29×25.7cm,起源于卵巢。剖腹探查发现一个巨大囊肿,起源于左卵巢,囊液与腹壁及左附件紧密粘连。子宫和右附件未见异常。我们进行了左侧附件切除术,止血满意,切除了囊肿。附件切除标本重13.5千克。术后随访情况简单。解剖病理学检查证实为卵巢黏液性囊腺瘤。

结论

卵巢黏液性囊腺瘤是一种良性肿瘤,可长得非常大。其治疗方法为手术,通常随访情况简单。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7964/9326776/e18203d6bacb/mtsi-02-5330-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7964/9326776/48b1e6194573/mtsi-02-5330-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7964/9326776/04341c771168/mtsi-02-5330-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7964/9326776/e18203d6bacb/mtsi-02-5330-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7964/9326776/48b1e6194573/mtsi-02-5330-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7964/9326776/04341c771168/mtsi-02-5330-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7964/9326776/e18203d6bacb/mtsi-02-5330-g003.jpg

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本文引用的文献

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A 9-kg ovarian mucinous cystadenoma in a 14-year-old premenarchal girl.一名14岁月经初潮前女孩患有一个9千克的卵巢黏液性囊腺瘤。
Am J Case Rep. 2014 Aug 1;15:326-9. doi: 10.12659/AJCR.890862.
2
A huge mucinous cystadenoma of ovarian: a rare case report and review of the literature.卵巢巨大黏液性囊腺瘤:1例罕见病例报告及文献复习
Rare Tumors. 2014 Jun 3;6(2):5225. doi: 10.4081/rt.2014.5225. eCollection 2014 May 13.
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A massive ovarian mucinous cystadenoma: a case report.巨大卵巢黏液性囊腺瘤 1 例报告。
Reprod Biol Endocrinol. 2010 Mar 11;8:24. doi: 10.1186/1477-7827-8-24.
4
Voluminous mucinous cystadenoma of the ovary in a 13-year-old girl.一名13岁女孩的卵巢巨大黏液性囊腺瘤。
J Pediatr Adolesc Gynecol. 2005 Dec;18(6):419-22. doi: 10.1016/j.jpag.2005.09.009.