| 陶翼琛.卵巢甲状腺肿12例临床病理分析[J].实用中西医结合临床,2008,(2):38-39 |
| 卵巢甲状腺肿12例临床病理分析 |
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| DOI： |
| 中文关键词: 卵巢甲状腺肿 畸胎瘤 临床病理学 |
| 英文关键词: Struma ovarii Teratoma Clinicopathology |
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| 中文摘要: |
| 目的：探讨卵巢甲状腺肿的临床病理特点。方法：回顾分析12例卵巢甲状腺肿的临床病理资料并复习文献。结果：12例患者年龄28~72岁，平均51.4岁，左侧卵巢8例，右卵巢4例，主要表现为下腹部肿块及不适，5例同时合并同侧或对侧卵巢其他肿瘤，1例合并子宫肌瘤。肿瘤镜下由甲状腺滤泡样结构构成，1例恶变为乳头状癌。9例获得随访均无复发或转移。结论：卵巢甲状腺肿为高分化单胚层畸胎瘤，可见到正常甲状腺发生的各种病理学改变，治疗以手术为主，即使恶变，预后也较好。 |
| 英文摘要: |
| Objective:To study the clinical and pathological features of struma ovarii.Methods:Twelve cases with struma ovarii were collected and their clinical and pathological data were reviewed.Results:The age of the 12 cases of struma ovarii was 28~72 years, the tumors of 8 cases located in the left ovary, and 4 cases in the right ovary. The main complaints were lower abdominal palpable masses and discomfort. There were 5 cases accompanying with other tumors of the ovary in the same side or the contrary side, 1 case was associated with leiomyoma of the uterus. Microscopically, the tumors consisted of thyroid follicular structures, of which 1case accompanying with malignant transformation ( papillary carcinoma). Nine patients had remained free of symptoms without relapse and three were lost in follow-up.Conclusion:Struma ovarii is a highly specialized form of monodermal ovarian teratoma, all of the pathologic changes in the normal thyroid gland maybe found. Operation is the choice of treatment. The prognosis is favorable. |
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