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凝固在时间里:成熟囊性畸胎瘤恶变的术中诊断与处理

Frozen in Time: Intraoperative Diagnosis and Management of Malignant Transformation in Mature Cystic Teratoma.

作者信息

Sanap Arun Sudhakar, Davile Medha D, Kamath Anusha A, Mundle Shuchita R

机构信息

Department of Obstetrics and Gynecology, AIIMS, Nagpur, Maharashtra, India.

出版信息

J Midlife Health. 2024 Apr-Jun;15(2):115-118. doi: 10.4103/jmh.jmh_253_23. Epub 2024 Jul 5.

DOI:10.4103/jmh.jmh_253_23
PMID:39145267
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11321514/
Abstract

Malignant transformation (MCT) of ovary is rare complications affecting elderly, squamous cell carcinoma being the most common. The prognosis worsens with extraovarian spread. We present two cases of MCT-derived SCC. Patients exhibited abdominal lump, pain, bowel symptoms, sometimes with weight loss; imaging revealed MCT. Age (51-60), postmenopausal status, large size (>20 cm), bilaterality, and complex ovarian lesions raised suspicion of malignancy. Elevated tumor markers (e.g., cancer antigen-125 and lactate dehydrogenase) were noted in one case. Intraoperative frozen section confirmed malignancy, guiding staging laparotomy. One case was advanced stage on histopathology. Intraoperative frozen section aids optimal staging.

摘要

卵巢恶性转化(MCT)是影响老年人的罕见并发症,其中鳞状细胞癌最为常见。随着卵巢外扩散,预后会恶化。我们报告了两例源自MCT的鳞状细胞癌(SCC)病例。患者表现为腹部肿块、疼痛、肠道症状,有时伴有体重减轻;影像学检查显示为MCT。年龄(51 - 60岁)、绝经后状态、大尺寸(>20 cm)、双侧性以及复杂的卵巢病变增加了恶性肿瘤的怀疑。在一例病例中发现肿瘤标志物(如癌抗原-125和乳酸脱氢酶)升高。术中冰冻切片确诊为恶性肿瘤,指导分期剖腹手术。一例在组织病理学上为晚期。术中冰冻切片有助于进行最佳分期。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0480/11321514/ceb7510cfffd/JMH-15-115-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0480/11321514/e7a58b57fa79/JMH-15-115-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0480/11321514/212b1afae5b9/JMH-15-115-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0480/11321514/ceb7510cfffd/JMH-15-115-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0480/11321514/e7a58b57fa79/JMH-15-115-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0480/11321514/212b1afae5b9/JMH-15-115-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0480/11321514/ceb7510cfffd/JMH-15-115-g003.jpg

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本文引用的文献

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