Zhang Jiaren, He Lian, Yang Li, Wang Ji, Wei Ling, Ma Xuejing, Jiang Lin
Department of Radiology, The First People's Hospital of Zunyi, The Third Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou 563000, P.R. China.
Department of Radiology, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou 563000, P.R. China.
Oncol Lett. 2022 Oct 26;24(6):443. doi: 10.3892/ol.2022.13563. eCollection 2022 Dec.
Ovarian collision tumors are uncommon and reports of their radiological appearance are even less frequent. The present study reported the world's first case of an ovarian collision tumor consisting of an ovarian sclerosing stromal tumor and a mature cystic teratoma and its imaging presentation. When a cystic solid ovarian mass combined with ascites and elevated CA125 is encountered it is frequently diagnosed as a malignant tumor, but the present case was a benign tumor. Therefore, when encountering similar cases, clinicians should not limit the diagnosis to malignant tumors to avoid rashly expanding the surgery and causing unnecessary harm to the patient. The combination of computed tomography, magnetic resonance imaging and pathology findings presented in the current study enable radiologists to learn about this disease and further assist clinicians in developing the best treatment plan.
卵巢碰撞瘤并不常见,关于其放射学表现的报道更是少见。本研究报告了世界上首例由卵巢硬化性间质瘤和成熟囊性畸胎瘤组成的卵巢碰撞瘤及其影像学表现。当遇到卵巢囊实性肿块合并腹水及CA125升高时,常被诊断为恶性肿瘤,但本病例却是良性肿瘤。因此,遇到类似病例时,临床医生不应将诊断局限于恶性肿瘤,以免贸然扩大手术范围,对患者造成不必要的伤害。本研究中呈现的计算机断层扫描、磁共振成像和病理结果相结合,使放射科医生能够了解这种疾病,并进一步协助临床医生制定最佳治疗方案。