Abstract:
Mature cystic teratoma of the fallopian tube is extremely rare, with fewer than 100 cases reported in the English literature. Clinical symptoms are nonspecific, and the diagnosis is most often made after surgical resection. A preoperative diagnosis has the potential to aid with surgical planning and patient counseling. We present a case of a large completely intratubal mature cystic teratoma in a 40-year-old woman who presented to her primary care provider with the gradual onset of right lower quadrant/pelvic pain. The patient\'s symptoms prompted evaluation with computed tomography (CT) and ultrasound. Imaging showed a dilated right fallopian tube containing fluid, macroscopic fat, and calcifications, facilitating the preoperative diagnosis of mature cystic teratoma of the fallopian tube. Because of her symptoms, she elected to undergo salpingectomy and the diagnosis was pathologically confirmed. The patient\'s symptoms resolved following surgery.
摘要:
输卵管的成熟囊性畸胎瘤极为罕见,英文文献报道的病例少于100例。临床症状是非特异性的,诊断通常在手术切除后进行。术前诊断可能有助于手术计划和患者咨询。我们介绍了一例40岁女性的大型完全输卵管内成熟囊性畸胎瘤,该女性向她的初级保健提供者介绍了右下腹/骨盆疼痛的逐渐发作。患者的症状提示计算机断层扫描(CT)和超声评估。影像学显示右输卵管扩张,含有液体,宏观脂肪,和钙化,有助于术前诊断输卵管成熟囊性畸胎瘤。因为她的症状,她选择接受输卵管切除术,诊断得到病理证实。患者的症状在手术后缓解。