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纤维卵泡膜细胞瘤——一种罕见的卵巢肿瘤:病例报告

Fibrothecoma a rare ovarian tumor: A case report.

作者信息

Flissate Farah, Bensrhir Ibtissam, Mahfoud Hounaida, Lakhdar Amina, Baidada Aziz, Sassi Samia

机构信息

Gynaecology-Obstetrics and Endoscopy Department, Maternity Souissi, University Hospital Center IBN SINA, University Mohammed V, Rabat, Morocco.

Gynaecology-Obstetrics and Endoscopy Department, Maternity Souissi, University Hospital Center IBN SINA, University Mohammed V, Rabat, Morocco.

出版信息

Int J Surg Case Rep. 2024 Jul;120:109771. doi: 10.1016/j.ijscr.2024.109771. Epub 2024 May 20.

Abstract

INTRODUCTION AND IMPORTANCE

Fibroma, thecoma, and fibrothecoma collectively denote a range of non-cancerous sex cord-stromal tumors distinguished by the presence of fibroblastic stromal cells and/or cells resembling luteinized theca cells.

CASE PRESENTATION

In this report, we present a case study of a 52-year-old patient in whom this uncommon tumor was identified via MRI, highlighting the distinctive diagnostic and treatment considerations associated with it.

CLINICAL DISCUSSION

Ovarian fibrothecoma tumors are infrequent, constituting less than 4 % of all ovarian tumors. Although they may manifest at any age, they are more commonly observed in elderly and post-menopausal individuals. Diagnosis hinges on clinical and paraclinical data, yet definitive confirmation is predominantly achieved through anatomopathological examination. For younger patients, conservative surgery is usually favored, whereas peri- or post-menopausal individuals may undergo radical treatment.

CONCLUSION

Ovarian Fibrothecoma, though rare, are typically benign tumors frequently found in older patients. Diagnosis primarily relies on histological examination. Fortunately, the prognosis for these tumors is generally favorable.

摘要

引言与重要性

纤维瘤、卵泡膜瘤和纤维卵泡膜瘤统称为一系列非癌性性索间质肿瘤,其特征是存在成纤维细胞性间质细胞和/或类似黄素化卵泡膜细胞的细胞。

病例介绍

在本报告中,我们展示了一名52岁患者的病例研究,该患者通过磁共振成像(MRI)确诊患有这种罕见肿瘤,突出了与之相关的独特诊断和治疗考量。

临床讨论

卵巢纤维卵泡膜瘤较为罕见,占所有卵巢肿瘤的比例不到4%。尽管它们可能在任何年龄出现,但更常见于老年人和绝经后个体。诊断取决于临床和辅助临床数据,但最终确诊主要通过解剖病理学检查。对于年轻患者,通常倾向于采取保守手术,而围绝经期或绝经后的个体可能接受根治性治疗。

结论

卵巢纤维卵泡膜瘤虽然罕见,但通常是良性肿瘤,常见于老年患者。诊断主要依靠组织学检查。幸运的是,这些肿瘤的预后总体良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9061/11167356/924c9ff1c2d6/gr1.jpg

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