26例盆腔内卵巢外成熟畸胎瘤临床诊治分析  

Clinical Diagnosis and Treatment of 26 Cases of Mature Teratoma in Pelvic Cavity and out of Ovary

作　　者：卢颖莹 LU Ying-ying(Department of gynaecology,obstetrics and gynecology Hospital of Fudan University,Shanghai 200000,China)

机构地区：[1]复旦大学附属妇产科医院妇科,上海200000

出　　处：《罕少疾病杂志》2024年第5期65-66,83,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨盆腔内卵巢外成熟畸胎瘤的临床表现、分布特点及预后。方法回顾性分析2003年1月至2023年12月我院收治的26例盆腔内卵巢外成熟畸胎瘤患者的临床资料和随访记录。结果以盆腔包块入院17例、宫颈病变入院1例、原发不孕入院1例、异位妊娠1例、月经失调2例及下腹痛4例。盆腔内卵巢外成熟畸胎瘤分布在腹膜后、盆腔后陷凹、阔韧带、大网膜和盆壁。患者年龄24~66岁,肿块直径≥3.0 cm有8例。26例均行手术治疗,腔镜下手术21例,开腹手术5例;所有病例术后均送病理诊断。术后随访26例,均无复发。结论盆腔内卵巢外成熟畸胎瘤临床罕见,常常缺乏明确的症状与体征,容易漏诊、误诊,必要的检查和治疗、紧密的随访可改善预后。Objective To investigate the clinical manifestations,position characteristics and prognosis of pelvic extraovarian teratoma.Methods The clinical data and follow-up records of 26 patients with extraovarian teratoma in our hospital from Jan 2003 to Dec 2023 were retrospectively analyzed.Results 17 cases were admitted with pelvic mass,1 case with cervical lesions,1 case with primary infertility,1 case with ectopic pregnancy,2 cases with menstrual disorder and 4 cases with lower abdominal pain.Mature teratomas in pelvic cavity and out of ovary are distributed in retroperitoneum,retropelvic cavity,broad ligament,omentum and pelvic wall.The age of patients ranged from 24 to 66 years old,and the diameter of tumor was≥3.0 cm in 8 cases.All 26 cases were treated by surgery,including 21 cases by endoscopy and 5 cases by laparotomy.All cases were sent for pathological diagnosis after operation.26 cases were followed up after operation,and there was no recurrence.Conclusions Pelvic extraovarian mature teratoma is rare in clinic,lacking clear symptoms and signs,so it is easy to be missed and misdiagnosed.The necessary examination and treatment,and close follow-up can improve its prognosis.

关 键 词：盆腔内卵巢外成熟畸胎瘤 临床特点 预后 

分 类 号：R71[医药卫生—妇产科学]