卵巢大面积水肿和纤维瘤病:罕见病例报告

Thanka Johnson, Abhishri Lakshmi K
{"title":"卵巢大面积水肿和纤维瘤病:罕见病例报告","authors":"Thanka Johnson, Abhishri Lakshmi K","doi":"10.18231/j.ijpo.2024.021","DOIUrl":null,"url":null,"abstract":"Ovarian lesions composed of spindle cells comprise a heterogeneous group; most are neoplastic, but several non-neoplastic lesions may be composed of spindle cells, including massive edema and fibromatosis and ovarian fibroma. Herein we discuss both these non- neoplastic entities as a differential diagnosis for our case of benign spindle cell lesion of ovary.57-year-old post-menopausal female presented with abdominal pain, vomiting, constipation. Computed tomography showed, features of ovarian torsion. Staging laparotomy was done and a specimen of hysterectomy with bilateral salpingoophorectomy, was sent for histopathological examination. Sections from right ovary showed proliferation of spindle cells resembling stromal fibroblasts with large areas of edema and haemorrhage. Masson's trichrome show increased collagen deposition. The tube also shows changes secondary to torsion in the wall. Based on the above features, we made a diagnosis of benign spindle cell lesion of ovary with the differential diagnosis including massive edema and fibromatosis and fibroma of ovary. IHC for Inhibin was ordered which came negative. This confirmed the diagnosis of massive edema and fibromatosis.","PeriodicalId":486471,"journal":{"name":"Indian Journal of Pathology and Oncology","volume":"16 3","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Massive edema and fibromatosis of ovary: A rare case report\",\"authors\":\"Thanka Johnson, Abhishri Lakshmi K\",\"doi\":\"10.18231/j.ijpo.2024.021\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Ovarian lesions composed of spindle cells comprise a heterogeneous group; most are neoplastic, but several non-neoplastic lesions may be composed of spindle cells, including massive edema and fibromatosis and ovarian fibroma. Herein we discuss both these non- neoplastic entities as a differential diagnosis for our case of benign spindle cell lesion of ovary.57-year-old post-menopausal female presented with abdominal pain, vomiting, constipation. Computed tomography showed, features of ovarian torsion. Staging laparotomy was done and a specimen of hysterectomy with bilateral salpingoophorectomy, was sent for histopathological examination. Sections from right ovary showed proliferation of spindle cells resembling stromal fibroblasts with large areas of edema and haemorrhage. Masson's trichrome show increased collagen deposition. The tube also shows changes secondary to torsion in the wall. Based on the above features, we made a diagnosis of benign spindle cell lesion of ovary with the differential diagnosis including massive edema and fibromatosis and fibroma of ovary. IHC for Inhibin was ordered which came negative. This confirmed the diagnosis of massive edema and fibromatosis.\",\"PeriodicalId\":486471,\"journal\":{\"name\":\"Indian Journal of Pathology and Oncology\",\"volume\":\"16 3\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-04-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian Journal of Pathology and Oncology\",\"FirstCategoryId\":\"0\",\"ListUrlMain\":\"https://doi.org/10.18231/j.ijpo.2024.021\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Pathology and Oncology","FirstCategoryId":"0","ListUrlMain":"https://doi.org/10.18231/j.ijpo.2024.021","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

由纺锤形细胞组成的卵巢病变是一个异质性群体;大多数是肿瘤性的,但也有几种非肿瘤性病变可能由纺锤形细胞组成,包括大量水肿和纤维瘤病以及卵巢纤维瘤。57 岁的绝经后女性,因腹痛、呕吐和便秘就诊。计算机断层扫描显示卵巢扭转。患者接受了分期开腹手术,子宫切除术和双侧输卵管切除术的标本被送去进行组织病理学检查。右侧卵巢切片显示纺锤形细胞增生,类似基质成纤维细胞,并伴有大面积水肿和出血。马森三色染色显示胶原沉积增加。管壁还显示出继发于扭转的变化。根据上述特征,我们做出了卵巢良性纺锤形细胞病变的诊断,鉴别诊断包括卵巢大面积水肿、纤维瘤病和纤维瘤。我们要求对抑制素进行 IHC 检测,结果呈阴性。这证实了大块水肿和纤维瘤病的诊断。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Massive edema and fibromatosis of ovary: A rare case report
Ovarian lesions composed of spindle cells comprise a heterogeneous group; most are neoplastic, but several non-neoplastic lesions may be composed of spindle cells, including massive edema and fibromatosis and ovarian fibroma. Herein we discuss both these non- neoplastic entities as a differential diagnosis for our case of benign spindle cell lesion of ovary.57-year-old post-menopausal female presented with abdominal pain, vomiting, constipation. Computed tomography showed, features of ovarian torsion. Staging laparotomy was done and a specimen of hysterectomy with bilateral salpingoophorectomy, was sent for histopathological examination. Sections from right ovary showed proliferation of spindle cells resembling stromal fibroblasts with large areas of edema and haemorrhage. Masson's trichrome show increased collagen deposition. The tube also shows changes secondary to torsion in the wall. Based on the above features, we made a diagnosis of benign spindle cell lesion of ovary with the differential diagnosis including massive edema and fibromatosis and fibroma of ovary. IHC for Inhibin was ordered which came negative. This confirmed the diagnosis of massive edema and fibromatosis.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信