PDF(Pubmed)
Abstract：
This article reports a case of an ovarian collision tumour consisting of an ovarian fibroma and a serous cystadenoma. A 60-year-old woman exhibited symptoms of post-menopausal bleeding and abdominal pain persisting for three months. Computerized tomography identified a solid mass with a cystic component in the right adnexa, and the patient underwent staging laparotomy. Gross examination of the right ovary revealed a cystic tumour with adjacent solid mass. The histopathological analysis identified a cystic mass that matched the characteristics of a serous cystadenoma, with an adjacent solid mass that matched the characteristics of a sex-cord stromal tumour, both located in the right ovary. Additionally, a small cyst that matched the characteristics of a serous cystadenoma was found in the left ovary. There have been only seven previously reported examples of this specific mix of ovarian tumours. Mostly affecting patients above 60 years of age, although tumour markers levels are normal, such cases may present with a complex clinical scenario, as in this case, and demand a comprehensive diagnostic and therapeutic approach.
摘要：
本文报道一例卵巢碰撞瘤，由卵巢纤维瘤和浆液性囊腺瘤组成。一名60岁的妇女表现出绝经后出血和腹痛持续三个月的症状。计算机断层扫描在右侧附件中发现了一个带有囊性成分的实体肿块，患者接受了分期剖腹手术。右卵巢的大体检查显示囊性肿瘤与邻近的实体肿块。组织病理学分析确定了与浆液性囊腺瘤特征相匹配的囊性肿块，与性索间质肿瘤的特征相匹配的相邻实体，都位于右卵巢。此外,在左侧卵巢发现了一个符合浆液性囊腺瘤特征的小囊肿。以前报道的卵巢肿瘤的这种特定混合的例子只有七个。主要影响60岁以上的患者，虽然肿瘤标志物水平正常,这种情况可能会出现复杂的临床情况，在这种情况下，并需要全面的诊断和治疗方法。
