女童双侧成熟卵巢畸胎瘤伴扭转。

Q3 Medicine
Jana Lešková, Jaroslav Thierry Kříž, Radek Štichhauer
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引用次数: 1

摘要

成熟囊性畸胎瘤是儿童卵巢肿瘤中最常见的类型。附件扭转是成熟卵巢畸胎瘤的主要并发症。成熟囊性畸胎瘤的双侧同步发病率在青春期前的女孩是已知的罕见。然而,年轻女孩的附件扭转发生率较高。一个10岁的女孩表现急腹症是处理紧急剖腹手术。发现双侧成熟卵巢畸胎瘤伴右侧卵巢附件扭转。右侧卵巢组织因扭转不能存活,需要行卵巢切除术。膀胱切除术,保留左卵巢组织。组织病理学诊断为双侧同步成熟畸胎瘤伴右附件坏死。虽然畸形卵巢恶性肿瘤和成熟畸胎瘤的风险较低,但建议将其切除以防止附件扭转。卵巢组织保留手术或卵巢切除术的决定取决于恶性肿瘤的风险,生育能力的保留和避免过早绝经。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bilateral Mature Ovarian Teratoma with Torsion in a Premenarchal Girl.

Mature cystic teratoma is the most common type of ovarian tumor in children. Adnexal torsion is the main complication of mature ovarian teratoma. The synchronous bilateral incidence of mature cystic teratoma in premenarchal girls is known to be rare. However, the incidence of adnexal torsion is higher in young girls. A 10-year-old girl presenting with acute abdomen was managed by emergency laparotomy. Bilateral mature ovarian teratoma with adnexal torsion of the right ovary was found. The right ovarian tissue was not viable due to torsion and an oophorectomy was necessary. Cystectomy with preservation of the ovarian tissue of the left ovary was performed. Histopathological diagnosis was bilateral synchronous mature teratoma with necrosis of the right adnexa. Although the risk of malignancy of torsed ovaries and mature teratomas in premenarchal girls is low, their removal is recommended to prevent adnexal torsion. Decision between ovarian tissue sparing surgery or oophorectomy depends on the risk of malignancy, fertility preservation and the avoidance of early menopause.

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来源期刊
Acta medica (Hradec Kralove)
Acta medica (Hradec Kralove) Medicine-Medicine (all)
CiteScore
1.10
自引率
0.00%
发文量
8
审稿时长
20 weeks
期刊介绍: Acta Medica (Hradec Králové) is a multidisciplinary medical journal published by the Faculty of Medicine in Hradec Králové - Karolinum Press, the publishing house of Charles University. The journal is peer-reviewed and published quarterly in both paper and electronic form. The language of Acta Medica is English. Offerings include review articles, original articles, brief communications, case reports, announcements and notices. The journal was founded in 1958 under the title "A Collection of Scientific Works of the Charles University Faculty of Medicine in Hradec Kralove."
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