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一名症状轻微的绝经后女性的典型卵巢纤维瘤病例。

A typical case of ovarian fibrothecoma in a paucisymptomatic postmenopausal woman.

作者信息

Kessi Eric Michel Charlemagne, Maslouhi Kaoutar, Tsioukaka Gray Delors, Mendes Papys, Belkouchi Lina, Allali Nazik, Chat Latifa, El Haddad Siham

机构信息

Radiology Department, Children's Hospital UHC Ibn Sina Mohammed V University, Rabat, Morocco.

Anatomy and Cytology Laboratory, Mohammed V Military Hospital, Rabat, Morocco.

出版信息

Radiol Case Rep. 2025 May 2;20(7):3501-3504. doi: 10.1016/j.radcr.2025.03.086. eCollection 2025 Jul.

DOI:10.1016/j.radcr.2025.03.086
PMID:40417323
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12098127/
Abstract

Ovarian fibrothecomas are a rare type of gonadal stromal cell tumor. They are mostly benign and unilateral in 90% of cases and mainly affect postmenopausal women. The clinical presentation and radiological features are vague. As a result, they may be misdiagnosed or confused with other entities. The definitive diagnosis is made by histology. We present a case of ovarian fibrothecoma in a 65-year-old woman with a history of thyroid neoplasia who presented only with frustrating abdominal pain with no other associated signs.

摘要

卵巢纤维卵泡膜细胞瘤是一种罕见的性腺间质细胞瘤。它们大多为良性,90%的病例为单侧性,主要影响绝经后女性。临床表现和影像学特征不明确。因此,它们可能被误诊或与其他疾病混淆。确诊依靠组织学检查。我们报告一例65岁女性的卵巢纤维卵泡膜细胞瘤病例,该患者有甲状腺肿瘤病史,仅表现为令人困扰的腹痛,无其他相关体征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/990f/12098127/d565726846f1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/990f/12098127/71960e22c700/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/990f/12098127/a5628c684860/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/990f/12098127/d565726846f1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/990f/12098127/71960e22c700/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/990f/12098127/a5628c684860/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/990f/12098127/d565726846f1/gr3.jpg

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本文引用的文献

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A Case Report of Meigs' Syndrome Caused by Ovarian Fibrothecoma with High Levels of CA125.一例由伴有高水平CA125的卵巢纤维卵泡膜瘤引起的梅格斯综合征病例报告
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2
A case report of bilateral benign Ovarian Fibrothecoma coincidental with ascites: an unconventional co-occurrence.双侧良性卵巢纤维卵泡膜瘤合并腹水的病例报告:一种非传统的共存情况。
Ann Med Surg (Lond). 2023 Jun 21;85(7):3739-3743. doi: 10.1097/MS9.0000000000001016. eCollection 2023 Jul.
3
CT review of ovarian fibrothecoma.
卵巢纤维瘤的 CT 复查。
Br J Radiol. 2022 Aug 1;95(1136):20210790. doi: 10.1259/bjr.20210790. Epub 2022 Jul 12.
4
A presentation of ovarian fibrothecoma in a middle-aged female with recurrent massive ascites and postmenopausal bleeding: A case report.一名中年女性卵巢纤维瘤伴反复大量腹水及绝经后出血的病例报告
SAGE Open Med Case Rep. 2020 Dec 21;8:2050313X20974222. doi: 10.1177/2050313X20974222. eCollection 2020.
5
A rare case of recurrences of multiple ovarian fibrothecoma.一例罕见的多发性卵巢纤维瘤复发病例。
J Obstet Gynaecol. 2021 Jan;41(1):158-159. doi: 10.1080/01443615.2019.1677581. Epub 2019 Dec 11.
6
Computed tomography and magnetic resonance imaging features of ovarian fibrothecoma.卵巢纤维瘤的计算机断层扫描和磁共振成像特征
Oncol Lett. 2017 Jul;14(1):1172-1178. doi: 10.3892/ol.2017.6228. Epub 2017 May 22.
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