Young R H
James Homer Wright Pathology Laboratories, Massachusetts General Hospital, Boston, USA.
Virchows Arch. 1995;426(5):529-32. doi: 10.1007/BF00193178.
A 56-year-old woman had a large multicystic ovarian tumour 4 years after undergoing partial cystectomy for a deeply invasive urachal adenocarcinoma. On microscopic examination the ovarian tumour was a moderately differentiated mucinous cystadenocarcinoma similar to the urachal tumour. Several peritoneal biopsies and the omentum were positive for metastatic adenocarcinoma. Although initially interpreted as representing primary mucinous adenocarcinoma of the ovary with peritoneal spread, subsequent comparison with the previous urachal adenocarcinoma led to re-interpretation of the ovarian tumour as metastatic urachal carcinoma. Metastatic mucinous adenocarcinomas involving the ovary may be misinterpreted as primary ovarian carcinomas and the urinary bladder is a potential source of these neoplasms.
一名56岁女性在因深部浸润性脐尿管腺癌接受部分膀胱切除术4年后，出现了一个巨大的多囊性卵巢肿瘤。显微镜检查显示，卵巢肿瘤为中分化黏液性囊腺癌，与脐尿管肿瘤相似。多处腹膜活检及大网膜转移性腺癌呈阳性。尽管最初被解释为原发性卵巢黏液性腺癌伴腹膜播散，但随后与之前的脐尿管腺癌进行比较后，卵巢肿瘤被重新解释为转移性脐尿管癌。累及卵巢的转移性黏液性腺癌可能会被误诊为原发性卵巢癌，而膀胱是这些肿瘤的潜在来源。
