Clement P B, Scully R E
Am J Surg Pathol. 1980 Oct;4(5):431-8. doi: 10.1097/00000478-198010000-00003.
Eight cases of a rare type of ovarian cyst with distinctive clinical and pathologic features are reported. The patients presented with a palpable adnexal mass during pregnancy or the puerperium, or with a unilateral ovarian cyst during cesarean section at term. There were no associated endocrine disturbances. The cysts were large, solitary and unilocular and had a median diameter of 25 cm. On microscopical examination they were lined by luteinized cells that exhibited focal marked nuclear atypicality. All six patients who were followed postoperatively were alive and well at intervals of 5--68 months, suggesting that the cysts were luteinized follicle cysts related to the high gonadotropin levels of pregnancy rather than cystic neoplasms.
本文报告了8例具有独特临床和病理特征的罕见类型卵巢囊肿。患者在孕期或产褥期可触及附件包块，或足月剖宫产时发现单侧卵巢囊肿。无相关内分泌紊乱。囊肿较大，为单房性，直径中位数为25cm。显微镜检查显示囊肿内衬黄体化细胞，可见局灶性明显核异型性。术后随访的6例患者在5 - 68个月期间均存活且状况良好，提示这些囊肿是与孕期高促性腺激素水平相关的黄体化卵泡囊肿，而非囊性肿瘤。
