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首页> 外文期刊>Archives of gynecology and obstetrics. >Ovarian teratoma with diffused peritoneal reactions mimicking advanced ovarian malignancy.
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Ovarian teratoma with diffused peritoneal reactions mimicking advanced ovarian malignancy.

机译：具有弥漫性腹膜反应的卵巢畸胎瘤模仿晚期卵巢恶性肿瘤。

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摘要

BACKGROUND: Benign cystic teratomas are one of the most common benign ovarian neoplasms. Although its rupture is rare, once occurred it can cause complications such as granulomatous peritonitis, mimicking metastatic ovarian malignancy. CASE: A 39-year-old woman, Para 0-0-0-0, presented to the hospital with rapid abdominal distention for 3 months. Her physical examination and ultrasonographic findings led to a diagnosis of advanced stage ovarian carcinoma. An exploratory laparotomy was performed and the operative impression was that of stage III ovarian carcinoma. Total hysterectomy with bilateral salpingo-oophorectomy and surgical staging were done. The postoperative pathology revealed a benign cystic teratoma of right ovary with chronic granulomatous peritonitis. She was well at discharge and at her 1-year follow-up. CONCLUSION: Although ruptured a benign cystic teratoma is rare, it can cause granulomatous peritonitis, the clinical findings of which mimic advanced stage ovarian carcinoma. This warrants physicians to be aware of and intraoperative frozen section should be used, its correct management will provide a good outcome with less complication.
机译：背景：良性囊性畸胎瘤是最常见的卵巢良性肿瘤之一。尽管它的破裂很少见，但一旦发生它会引起并发症，例如肉芽肿性腹膜炎，模仿转移性卵巢恶性肿瘤。病例：一名39岁的女性，第0-0-0-0段，因腹部快速扩张被送往医院，为期3个月。她的体格检查和超声检查结果诊断为晚期卵巢癌。进行了探索性剖腹手术，手术印象为III期卵巢癌。进行全子宫切除术和双侧输卵管卵巢切除术并进行手术分期。术后病理显示右卵巢良性囊性畸胎瘤伴慢性肉芽肿性腹膜炎。她非常擅长出院并进行了1年的随访。结论：尽管良性囊性畸胎瘤破裂的情况很少，但它可引起肉芽肿性腹膜炎，其临床表现可模拟晚期卵巢癌。这使医生意识到并应在术中使用冰冻切片，对其进行正确的处理将提供良好的结果，并减少并发症。

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