Wan Y L, Chen W J, Chien C C, Lee T Y, Tsai C C
Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Chang Gung Medical College, Kaohsiung, Taiwan R.O.C.
J Formos Med Assoc. 1993 Sep;92(9):851-3.
An 87-year-old woman who had had a lower abdominal mass for 32 years underwent a laparotomy. Surgery revealed a 21-cm left ovarian dermoid cyst with torsion. Pathologic examination showed a hemorrhagic infarct due to torsion, mucinous cystadenoma and tuberculosis within the tumor. Tuberculosis was also found in the endometrium, both ovaries, oviducts and omentum. The patient's recovery was uneventful after surgery and medical treatment. The clinical manifestations of tuberculosis can vary widely. Tuberculosis of an ovarian dermoid cyst may be silent for a long period of time unless other complications occur.
一名有下腹部肿块32年的87岁女性接受了剖腹手术。手术发现一个21厘米的左侧卵巢皮样囊肿伴扭转。病理检查显示由于扭转导致的出血性梗死、肿瘤内的黏液性囊腺瘤和结核病。子宫内膜、双侧卵巢、输卵管和大网膜也发现了结核病。患者术后经药物治疗恢复顺利。结核病的临床表现差异很大。卵巢皮样囊肿的结核病可能长期无症状，除非发生其他并发症。
