卵巢囊腺纤维瘤:导致术后早期小肠梗阻和穿孔性腹膜炎的无辜肿瘤

IF 1.2 Q3 OBSTETRICS & GYNECOLOGY
Journal of Mid-life Health Pub Date : 2024-01-01 Epub Date: 2024-04-04 DOI:10.4103/jmh.jmh_5_24
Mishu Mangla, Krishna Ramavath, Naina Kumar, Subhrajyoti Roy, Annapurna Srirambhatla, Seetu Palo
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引用次数: 0

摘要

卵巢浆液性囊腺纤维瘤(CAF)是卵巢良性上皮肿瘤中一种较为少见的变异型。在超声(USG)和计算机断层扫描(CT)中,它经常被误诊为恶性卵巢肿块。虽然大多数病例可通过手术轻松治疗,但有些病例可能会出现危及生命的并发症,从而增加患者的发病率和死亡率。本病例报告简要介绍了一位 69 岁的女性,P4 L4,因主诉下腹疼痛 2-3 个月到妇科门诊就诊。USG 和 CT 均提示其卵巢肿块为可疑恶性肿瘤。患者接受了分期开腹手术,并进行了盆腔和主动脉旁淋巴结切除术和网膜活检。虽然肿瘤是良性的,但由于怀疑是恶性肿瘤,患者在术后早期出现了小肠梗阻,不得不再次进行手术。CAF 是一种特殊类型的卵巢肿瘤,具有多种良性特征。这种肿瘤在卵巢内部分呈囊性(含有充满液体的囊),部分呈实性(由纤维组织构成)生长,显示出多种多样的结构模式。大多数情况下,这种诊断是偶然的,是在因其他病因而进行的 USG 检查中发现的。卵巢 CAF 的诊断需要高度怀疑,因为这些肿瘤经常被误诊为恶性卵巢肿块。尽管 CAF 是一种无辜的肿瘤,但在怀疑其为恶性肿瘤的情况下对其进行广泛手术有时会导致严重的并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ovarian Cystadenofibroma: An Innocent Tumor Causing Early Postoperative Small Bowel Obstruction and Perforation Peritonitis.

Ovarian serous cystadenofibroma (CAF) is a relatively uncommon variant of benign epithelial tumors of the ovary. It is frequently misdiagnosed as malignant ovarian mass, on both ultrasound (USG) and computed tomography (CT). Although most cases are easily treatable by surgery, some cases can present with life-threatening complications increasing patient morbidity and mortality. The present case report briefs about a 69-year-old female, P4 L4, who presented to the gynecology outpatient department with a complaint of pain in the lower abdomen for 2-3 months. USG and CT were suggestive of a suspicious-looking ovarian mass favoring malignancy. A staging laparotomy with pelvic and para-aortic lymphadenectomy with omental biopsy was done. Although the tumor was benign, extensive surgery, due to the suspicion of malignancy led to the patient developing early postoperative small bowel obstruction, mandating a re-exploration. CAF is a specific type of ovarian tumor that exhibits a combination of benign characteristics. This tumor presents as a partly cystic (containing fluid-filled sacs) and partly solid (composed of fibrous tissue) growth within the ovary, displaying a diverse architectural pattern. Mostly the diagnosis is incidental, on USG done for some other indication. CAF of the ovary needs a very high index of suspicion for diagnosis as these are frequently misdiagnosed as malignant ovarian masses. Although an innocent tumor, extensive surgery done for CAF, under suspicion for malignancy, can sometimes lead to serious complications.

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来源期刊
Journal of Mid-life Health
Journal of Mid-life Health Social Sciences-Health (social science)
CiteScore
1.70
自引率
9.10%
发文量
39
审稿时长
43 weeks
期刊介绍: Journal of mid-life health is the official journal of the Indian Menopause society published Quarterly in January, April, July and October. It is peer reviewed, scientific journal of mid-life health and its problems. It includes all aspects of mid-life health, preventive as well as curative. The journal publishes on subjects such as gynecology, neurology, geriatrics, psychiatry, endocrinology, urology, andrology, psychology, healthy ageing, cardiovascular health, bone health, quality of life etc. as relevant of men and women in their midlife. The Journal provides a visible platform to the researchers as well as clinicians to publish their experiences in this area thereby helping in the promotion of mid-life health leading to healthy ageing, growing need due to increasing life expectancy. The Editorial team has maintained high standards and published original research papers, case reports and review articles from the best of the best contributors both national & international, consistently so that now, it has become a great tool in the hands of menopause practitioners.
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