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首页> 外文期刊>Case Reports in Obstetrics and Gynecology >Mature Ovarian Teratoma with Carcinoid Tumor in a 28-Year-Old Patient
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Mature Ovarian Teratoma with Carcinoid Tumor in a 28-Year-Old Patient

机译：一名28岁患者的成熟卵巢畸胎瘤合并类癌

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Introduction. Coexistence of carcinoid tumor inside a mature cystic teratoma is an extremely rare phenomenon, especially in young women. We present the case of a 28-year-old woman diagnosed with a right ovarian carcinoid and treated uneventfully with conservative surgical approach.Case Report. A 28-year-old woman, gravid 0, parity 0, presented to our department for her annual gynecological examination and Pap smear test. During her examination, a mobile cystic mass was detected in the right lower abdomen. Ultrasound indicated a right ovarian mass 10.5 × 6.3 cm, confirmed by CT scan. Further investigation revealed AFP levels (1539 ng/mL). The ovarian mass was excised by laparoscopy, leaving intact the remaining right ovary. Frozen sections showed a mature cystic teratoma. However, paraffin sections revealed the presence of a small carcinoid within the teratoma’s gastric-type mucosa. The patient was set to a close followup. Nine months postoperatively, ultrasound pelvis imaging and CT scan of the abdomen as well as serum tumor markers have shown no evidence of recurrence disease.Conclusion. Despite the weak evidence, fertility spare surgical approach for women wanting to preserve their genital tract might be a reasonable option.
机译：介绍。类癌肿瘤在成熟的囊性畸胎瘤内部并存是极为罕见的现象，尤其是在年轻女性中。我们介绍了一名28岁的女性，该女性被诊断出患有右侧卵巢类癌，并通过保守的手术方法进行了平稳治疗。一名28岁妇女，妊娠0，胎次为0，现送我们部门进行年度妇科检查和宫颈涂片检查。在她的检查期间，在右下腹部检测到一个活动的囊性肿块。超声检查表明右卵巢肿块为10.5×6.3 cm，经CT扫描证实。进一步调查显示AFP水平（1539 ng / mL）。腹腔镜切除卵巢肿块，保留剩余的右卵巢。冷冻切片显示成熟的囊性畸胎瘤。但是，石蜡切片显示畸胎瘤的胃型粘膜内存在小类癌。该患者已接受密切随访。术后九个月，超声骨盆成像和腹部CT扫描以及血清肿瘤标志物均未显示复发疾病的证据。尽管证据薄弱，但对于希望保留生殖道的女性而言，不孕不育的手术方法可能是一个合理的选择。

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