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題 名 | Clinical Pitfall of Aspiration Cytology in Differential Diagnosis of an Adnexal Mass Complicating Pregnancy: A Case Report=以細胞抽取術鑑別診斷妊娠時發現的附屬器腫瘤:臨床誤謬病例報告 |
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作 者 | 李耀泰; 王瑞生; 尹長生; 陳福民; 李俊卿; | 書刊名 | 中華民國婦產科醫學會會刊雜誌 |
卷 期 | 37:3 1998.09[民87.09] |
頁 次 | 頁109-113 |
分類號 | 417.25 |
關鍵詞 | 穿刺細胞學; 卵巢瘤; Aspiration cytology; Ovarian cyst; |
語 文 | 英文(English) |
中文摘要 | 背景:第二孕期的孕婦如發現有>6公分或內有中隔的卵巢瘤,應予手術切除。但 如患者拒絕手術,是否可用穿刺取得液體作細胞學檢查,取代病理診斷? 病歷報告:一懷孕 20 週婦女,因有輕度腹痛來檢查。超音波檢查可見一 20 週正常子宮內 妊娠,同時左側有一骨盤腔囊腫。由於患者拒絕手術切除囊腫,故只有以細針穿刺,抽取囊 腫液作細胞學檢查,但並沒有看到惡性細胞。不幸地,該孕婦在懷孕 35 週,因腹部劇痛而 接受剖腹生產,並切除左側卵巢瘤。病理報告為卵巢癌。 結論:以細針穿刺卵巢瘤作細胞學檢查不能正確診斷疾病,不宜使用,仍應以手術切除較佳 。 |
英文摘要 | Background: Pregnant women with large (>6 cm) or complex ovarian cysts persisting into the second trimester should receive surgical intervention. However, if they refuse surgery, can cytologic examination of the aspirated cyst fluid be used instead to characterize the nature of the ovarian cyst? Case report: We present a case of a woman who first attended our clinic with lower abdominal pain 20 weeks into her pregnancy. Sonographic examination demonstrated a viable 20-week intrauterine pregnancy with a left-sided pelvic mass. Aspiration of this mass was performed, and cytologic examination showed no evidence of malignant cells. Subsequently, she underwent a laparotomy and cesarean section at 35 weeks' gestation because the pelvic mass had ruptured. Left salpingo-oophorectomy was carried out with histopathological examination revealing an ovarian mucinous cystadenocarcinoma. Conclusion: The use of ovarian cyst fluid for cytological examination is unreliable for differentiating between benign and malignant ovarian cysts. Surgical resection may still be the preferred treatment for ovarian cysts. |
本系統中英文摘要資訊取自各篇刊載內容。