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非典型卵巢皮样囊肿切除术:一例报告

Removal of an atypical ovarian dermoid cyst: a case report.

作者信息

Rentiya Zubir, Chaudhry Hassan, Chukwurah Anthony, Ejiyooye Toluwalope, Khan Tuba, Centeno Lisa, Mahjabeen Syeda Sarah, Khan Aadil Mahmood

机构信息

Department of Surgery, MedStar Georgetown University Hospital, Washington, DC, USA.

Medical University of Lublin, Poland, European Union.

出版信息

Radiol Case Rep. 2022 Jul 27;17(10):3519-3522. doi: 10.1016/j.radcr.2022.06.005. eCollection 2022 Oct.

DOI:10.1016/j.radcr.2022.06.005
PMID:35936876
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9352422/
Abstract

Ovarian dermoid cysts, also known as mature teratomas, are benign embryonal tumors with a slow growth rate. They are the consequence of ectodermal components becoming trapped along with their closure sites and account for the most common germinative ovarian tumor in reproductive-aged women. These patients may have a reduced risk of morbidity if they receive an accurate diagnosis and extensive follow-up care. These cysts are often evaluated using one of the following imaging techniques: computed tomography, magnetic resonance imaging, pelvic ultrasonography, or transvaginal ultrasound. Laparoscopy and laparotomy are the 2 surgical procedures typically used to remove persistent or exceptionally large cysts. Leakage of cyst contents during surgery is a common postoperative complication that can seldom, but occasionally, results in chemical peritonitis. We discuss a case of a significant dermoid cyst that developed in an older woman and was successfully removed via laparoscopic surgery. This instance is instructive for other physicians who may encounter a similar pathology.

摘要

卵巢皮样囊肿,也称为成熟畸胎瘤,是一种生长缓慢的良性胚胎性肿瘤。它们是外胚层成分与其闭合部位一起被困住的结果,是育龄女性中最常见的生殖细胞性卵巢肿瘤。如果这些患者得到准确的诊断和广泛的后续护理,其发病风险可能会降低。这些囊肿通常使用以下成像技术之一进行评估:计算机断层扫描、磁共振成像、盆腔超声检查或经阴道超声检查。腹腔镜检查和剖腹手术是通常用于切除持续性或异常大囊肿的两种外科手术。手术期间囊肿内容物泄漏是一种常见的术后并发症,很少但偶尔会导致化学性腹膜炎。我们讨论了一例发生在老年女性身上的巨大皮样囊肿病例,该囊肿通过腹腔镜手术成功切除。这个病例对其他可能遇到类似病理情况的医生具有指导意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5c8/9352422/18622ea9977b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5c8/9352422/72b1ff1ec176/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5c8/9352422/18622ea9977b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5c8/9352422/72b1ff1ec176/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5c8/9352422/18622ea9977b/gr2.jpg

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本文引用的文献

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Comparison of perioperative outcomes of single-port laparoscopy, three-port laparoscopy and conventional laparotomy in removing giant ovarian cysts larger than 15 cm.比较单孔腹腔镜、三孔腹腔镜和传统开腹手术切除大于 15cm 的巨大卵巢囊肿的围手术期结局。
BMC Surg. 2021 Apr 21;21(1):205. doi: 10.1186/s12893-021-01205-3.
2
Short- and Long-Term Complications of Intraoperative Benign Ovarian Cyst Spillage: A Systematic Review and Meta-analysis.术中良性卵巢囊肿破裂的近期和远期并发症:系统评价和荟萃分析。
J Minim Invasive Gynecol. 2021 May;28(5):957-970. doi: 10.1016/j.jmig.2020.11.025. Epub 2020 Dec 3.
3
A Huge Ovarian Dermoid Cyst: Successful Laparoscopic Total Excision.
巨大卵巢皮样囊肿:腹腔镜全切除术成功
J Clin Diagn Res. 2017 Aug;11(8):QD03-QD05. doi: 10.7860/JCDR/2017/29262.10436. Epub 2017 Aug 1.
4
Laparoscopic treatment of ovarian dermoid cysts is a safe procedure.腹腔镜治疗卵巢皮样囊肿是一种安全的手术。
Bosn J Basic Med Sci. 2011 Nov;11(4):245-7. doi: 10.17305/bjbms.2011.2559.
5
Squamous cell carcinoma and osteosarcoma arising from a dermoid cyst--a case report and review of literature.皮样囊肿继发鳞状细胞癌和骨肉瘤——一例报告并文献复习
Int J Clin Exp Pathol. 2010 Jan 10;3(3):313-8.
6
Virilizing ovarian dermoid cyst with leydig cells.伴有睾丸间质细胞的男性化卵巢皮样囊肿
J Pediatr Adolesc Gynecol. 2009 Jun;22(3):e39-40. doi: 10.1016/j.jpag.2008.05.012.
7
Squamous cell carcinoma developing in a huge dermoid cyst of the ovary in an 80-year-old woman--case report.一名80岁女性卵巢巨大皮样囊肿内发生鳞状细胞癌——病例报告
Eur J Gynaecol Oncol. 2007;28(1):63-6.
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Chemical peritonitis: a rare complication of an iatrogenic ovarian dermoid cyst rupture.化学性腹膜炎:医源性卵巢皮样囊肿破裂的罕见并发症。
Surg Endosc. 2003 Apr;17(4):658. doi: 10.1007/s00464-002-4272-8. Epub 2003 Feb 10.
9
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