Werness B A
Department of Pathology, Washington Hospital Center, Washington, DC, USA.
Arch Pathol Lab Med. 1996 Mar;120(3):303-6.
Clement and colleagues recently described a group of six patients who had spindle cell proliferations of the ovary resembling luteinized thecomas. A fatal case of extensive sclerosing peritonitis associated with an identical ovarian proliferation is reported. In addition, several other cases in the literature that almost certainly represent the same disease entity have been identified. To our knowledge, this report increases the number of cases to 13. The extensive peritoneal disease along with the high mitotic activity of the ovarian tumor resulted in the diagnosis of peritoneal dissemination of an ovarian cancer in some cases, including the one currently described. Awareness of this newly described condition, which may be more common than previously thought, may help prevent further misdiagnosis.
克莱门特及其同事最近描述了一组6例卵巢出现梭形细胞增生、类似黄素化卵泡膜瘤的患者。本文报告了1例与相同卵巢增生相关的广泛硬化性腹膜炎致死病例。此外，还在文献中发现了其他几例几乎可以肯定代表同一疾病实体的病例。据我们所知，本报告将病例数增加到了13例。广泛的腹膜疾病以及卵巢肿瘤的高有丝分裂活性导致在某些病例中，包括本文描述的这例，被诊断为卵巢癌腹膜播散。认识到这种新描述的疾病可能比以前认为的更常见，可能有助于防止进一步的误诊。
