Rjoop Anwar, Obiedat Rawan, Al-Oqaily Ayat, Abu Baker Shaden, Matalka Ismail
Department of Pathology, King Abdullah University Hospital, Jordan University of Science and Technology, Irbid 22110, Jordan.
Department of Obstetrics and Gynecology, King Abdullah University Hospital, Jordan University of Science and Technology, Irbid 22110, Jordan.
Case Rep Womens Health. 2024 Mar 28;42:e00602. doi: 10.1016/j.crwh.2024.e00602. eCollection 2024 Jun.
This article reports a case of an ovarian collision tumour consisting of an ovarian fibroma and a serous cystadenoma. A 60-year-old woman exhibited symptoms of post-menopausal bleeding and abdominal pain persisting for three months. Computerized tomography identified a solid mass with a cystic component in the right adnexa, and the patient underwent staging laparotomy. Gross examination of the right ovary revealed a cystic tumour with adjacent solid mass. The histopathological analysis identified a cystic mass that matched the characteristics of a serous cystadenoma, with an adjacent solid mass that matched the characteristics of a sex-cord stromal tumour, both located in the right ovary. Additionally, a small cyst that matched the characteristics of a serous cystadenoma was found in the left ovary. There have been only seven previously reported examples of this specific mix of ovarian tumours. Mostly affecting patients above 60 years of age, although tumour markers levels are normal, such cases may present with a complex clinical scenario, as in this case, and demand a comprehensive diagnostic and therapeutic approach.
本文报道了一例由卵巢纤维瘤和浆液性囊腺瘤组成的卵巢碰撞瘤病例。一名60岁女性出现绝经后出血和腹痛症状，持续了三个月。计算机断层扫描发现右附件区有一个伴有囊性成分的实性肿块，患者接受了分期剖腹手术。对右侧卵巢的大体检查发现一个囊性肿瘤及相邻的实性肿块。组织病理学分析确定，一个囊性肿块符合浆液性囊腺瘤的特征，相邻的实性肿块符合性索间质肿瘤的特征，二者均位于右侧卵巢。此外，在左侧卵巢发现了一个符合浆液性囊腺瘤特征的小囊肿。此前仅有7例关于这种特定卵巢肿瘤组合的报道。这类病例大多影响60岁以上的患者，尽管肿瘤标志物水平正常，但可能会呈现出复杂的临床情况，如此病例所示，需要采取全面的诊断和治疗方法。
