Nanda S, Kalra B, Arora B, Singh S
Department of Obstetrics and Gynaecology, Postgraduate Institute of Medical Sciences, Rohtak, India.
Aust N Z J Obstet Gynaecol. 1998 Aug;38(3):329-31. doi: 10.1111/j.1479-828x.1998.tb03079.x.
Glial implants on peritoneum and omentum may occur with mature solid teratoma of the ovary (gliomatosis peritonei). The case of a 17-year-old girl is presented, who had a massive solid ovarian teratoma with glial implants on visceral peritoneum and omentum. The massive size of the tumour posed difficulty in diagnosis. CT demonstrated a large teratoma. At laparotomy, the seedlings were initially thought to be evidence of malignancy and hysterectomy was offered which was refused by the parents. Oophorectomy was performed and the benign nature of the tumour and implants was seen on histopathology. It is important to recognize the benign nature of glial seedlings in such cases to avoid unnecessary extensive surgery.
卵巢成熟实性畸胎瘤（腹膜胶质细胞瘤病）可出现腹膜和大网膜的胶质植入。本文报告一例17岁女孩，她患有巨大实性卵巢畸胎瘤，伴有脏腹膜和大网膜的胶质植入。肿瘤巨大给诊断带来困难。CT显示为一个大的畸胎瘤。剖腹手术时，最初认为这些种植灶是恶性的证据，因此建议行子宫切除术，但被父母拒绝。遂行卵巢切除术，组织病理学检查显示肿瘤及种植灶为良性。在这类病例中，认识到胶质种植灶的良性性质很重要，以避免不必要的广泛手术。
