卵巢纤维囊瘤是一种良性且极为罕见的性腺间质细胞瘤。它占所有类型卵巢肿瘤的3-4%。它们主要是单侧起源的,并且在绝经后阶段主要存在于女性中。我们的病例尤其重要,因为肿瘤发生在双侧并与腹水有关。这种情况很少发生在卵巢纤维腺瘤患者中。早期识别和治疗是避免该肿瘤后续并发症的关键组成部分。
■我们介绍了一名54岁女性的病例,她仅抱怨腹部轮廓缓慢增加并伴有模糊的腹痛。我们的术前放射学成像显示多发卵巢和子宫肿块。
■以子宫切除术和双侧输卵管卵巢切除术的形式进行手术干预。组织病理学分析显示双侧良性卵巢纤维囊瘤伴良性子宫平滑肌瘤。患者术后恢复顺利。
■卵巢纤维囊瘤是一种罕见的妇科病理。我们案例的独特性源于其罕见的双边发生,并且在极少数情况下,它们的发生伴随着腹水。这种共现应该区别于其他罕见的表现,比如Meigs综合症.因此,文件是必要的,以避免误诊和减少所产生的患者发病率。为了进一步强调我们案例的价值,据我们所知,这是我国第一个有记录的这种病理病例。
Ovarian fibrothecoma are a mostly benign and profoundly rare type of gonadal stromal cell tumor. It makes up 3-4% of all kinds of ovarian neoplasia. They are predominantly unilateral in origin and mostly present in women during the postmenopausal phase. Our
case is especially important because the tumors occurred bilaterally and were associated with ascites. This seldom happens in patients with ovarian fibrothecoma. Early identification and treatment are key components to avoid the subsequent complications of this tumor.
UNASSIGNED: We present the
case of a 54-year-old female who presented complaining only of a slow progressive increase in the abdominal contour associated with vague abdominal pain. Our preoperative radiological imaging revealed multiple ovarian and uterine masses.
UNASSIGNED: Surgical intervention in the form of a hysterectomy with bilateral salpingo-oophorectomy was achieved. Histopathological analysis revealed bilateral benign ovarian fibrothecoma with benign uterine leiomyomas. The patient underwent an uneventful postoperative recovery.
UNASSIGNED: Ovarian Fibrothecoma is a rare gynecological pathology. The uniqueness of our
case stems from the rarity of its bilateral occurrence and in rare occasions, their occurrence is accompanied by ascites. This kind of co-occurrence should be differentiated from other rare presentations, such as Meigs Syndrome. Therefore, documentation is necessary to circumvent misdiagnoses and to abate the resulting patient morbidity. To further highlight the value of our
case, it is to the best of our knowledge, the first documented
case of this pathology from our country.