Doss N, Forney J P, Vellios F, Nalick R H
Obstet Gynecol. 1977 Dec;50(6):651-3.
Over a 21-year period, 213 women with mature teratoma of the ovary were operated on at Parkland Memorial Hospital. Twenty-seven had bilateral tumors. In 22 of these 27 patients, bilateral involvement was evident on clinical examination, and in 5, biopsy of an abnormal but nonteratoid appearing ovary was required to make the diagnosis. Ninety patients with a visually normal opposite ovary had no identifiable tumor in that ovary by investigative incision or incidental excision. Neither incision nor excision of the normal contralateral ovary was performed in 58 cases, and subsequently, one of these women is known to have developed a teratoma in that ovary. We conclude that synchronous covert bilaterality of mature teratomas is not common, and a visually normal contralateral ovary should not routinely be bivalved or wedge biopsied.
在21年的时间里，213例患有卵巢成熟畸胎瘤的女性在帕克兰纪念医院接受了手术。27例患有双侧肿瘤。在这27例患者中的22例中，临床检查时双侧受累明显，而在5例中，需要对外观异常但非畸胎瘤样的卵巢进行活检以做出诊断。90例对侧卵巢外观正常的患者，通过探查性切口或偶然切除，在该卵巢中未发现可识别的肿瘤。58例患者未对正常对侧卵巢进行切开或切除，随后，已知其中一名女性在该卵巢中发生了畸胎瘤。我们得出结论，成熟畸胎瘤的同步隐匿性双侧性并不常见，外观正常的对侧卵巢不应常规进行双瓣切开或楔形活检。
