卵巢囊性成熟性畸胎瘤并发类癌3例报告及文献复习  

Mature cystic teratoma complicated with primary ovarian carcinoid:A report of 3 cases and literature review

作　　者：李思莹[1] 谢敏[1] 洪晓玲[1] 王海啸 张松灵[1] LI Siying;XIE Min;HONG Xiaoling;WANG Haixiao;ZHANG Songling(Department of Tumor Gynecology,First Hospital,Jilin University,Changchun 130021,China)

机构地区：[1]吉林大学第一医院肿瘤妇科,吉林长春130021

出　　处：《吉林大学学报（医学版）》2018年第2期398-400,共3页Journal of Jilin University：Medicine Edition

基　　金：吉林省科技厅白求恩专项基金资助课题(20160101049JC)

摘　　要：目的:探讨卵巢囊性成熟性畸胎瘤并发类癌的临床特点、诊断思路、治疗方法及预后,总结该类疾病的基本特征,提高临床医生对该病的认识。方法:患者因体检发现一侧卵巢肿物入院,行相关肿瘤标记物检查均未见异常,术前诊断为卵巢瘤,2例患者行患侧附件切除术,1例行患侧肿瘤剥除术。结果:3例患者手术顺利,术后病理诊断均为卵巢成熟性囊性畸胎瘤并发类癌,术后恢复良好,随访15个月未见复发及转移。结论:卵巢囊性成熟性畸胎瘤并发类癌术前极易误诊。患侧附件切除术是治疗该种疾病较为常见的手术方式,预后较好。Objective:To discuss the clinical characteristics,diagnosis,treatment experience and prognosis of mature cystic teratoma complicated with primary ovarian carcinoid,and to summarize its general charateriseics and to enhance the knowledge of clinician.Methods:Three female patients presented unilateral ovarian tumor in physical examination and were admitted to hospital.The tumor markers of three patients were normal.The preoperative diagnosis was ovarian tumor.Unilateral salpingo-oophorectomy was conducted in two patients.The resection of ovarian tumor was conducted in one patient.Results:The three patients underwent operation successfully.The postoperative pathological diagnosis was mature cystic teratoma complicated with primary ovarian carcinoid.The patients recovered well,who accepted 15-month follow-up with normal life and stable condition,and had no recurrence and metastasis.Conclusion:Mature cystic teratoma complicated with primary ovarian carcinoid is easy to be misdiagnosed before operation.Salpingo-oophorectomy is co

关 键 词：卵巢囊性成熟性畸胎瘤 原发卵巢类癌 类癌综合征 甲状腺肿型 

分 类 号：R737.31[医药卫生—肿瘤]