卵巢囊性成熟性畸胎瘤并发类癌3例报告及文献复习

doi:10.13481/j.1671-587x.20180235

吉林大学学报(医学版) ›› 2018, Vol. 44 ›› Issue (02): 398-400.doi: 10.13481/j.1671-587x.20180235

卵巢囊性成熟性畸胎瘤并发类癌3例报告及文献复习

李思莹, 谢敏, 洪晓玲, 王海啸, 张松灵

吉林大学第一医院肿瘤妇科, 吉林长春 130021

收稿日期:2017-11-13 出版日期:2018-03-28 发布日期:2018-03-30
通讯作者: 张松灵,教授,硕士研究生导师(Tel:0431-88782359,E-mail:slzhang@jlu.edu.cn) E-mail:slzhang@jlu.edu.cn
作者简介:李思莹(1992-),女,吉林省吉林市人,在读医学硕士,主要从事妇科肿瘤方面的研究。
基金资助:
吉林省科技厅白求恩专项基金资助课题（20160101049JC）

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

LI Siying, XIE Min, HONG Xiaoling, WANG Haixiao, ZHANG Songling

Department of Tumor Gynecology, First Hospital, Jilin University, Changchun 130021, China

Received:2017-11-13 Online:2018-03-28 Published:2018-03-30

摘要/Abstract

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。

关键词: 原发卵巢类癌, 类癌综合征, 甲状腺肿型, 卵巢囊性成熟性畸胎瘤

Abstract: 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 commonly used as the treatment method of mature cystic teratoma complicated with primary ovarian carcinoid and it can result in good effectiveness and better prognosis.

Key words: mature cystic teratoma, strumal variant, primary ovarian carcinoid, carcinoid syndrome

中图分类号:

R737.31

李思莹, 谢敏, 洪晓玲, 王海啸, 张松灵. 卵巢囊性成熟性畸胎瘤并发类癌3例报告及文献复习[J]. 吉林大学学报(医学版), 2018, 44(02): 398-400.

LI Siying, XIE Min, HONG Xiaoling, WANG Haixiao, ZHANG Songling. Mature cystic teratoma complicated with primary ovarian carcinoid: A report of 3 cases and literature review[J]. Journal of Jilin University Medicine Edition, 2018, 44(02): 398-400.

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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

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