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題 名 | A Huge Ovarian Solid Tumor with Massive Ascites: A Case Report=卵巢良性巨大纖維鞘瘤合併大量腹水:病例報告 |
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作 者 | 張正昌; 劉杭生; 朱大維; 朱堂元; 楊雅堂; 于承平; | 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103-107 |
分類號 | 417.25 |
關鍵詞 | 卵巢纖維鞘瘤; 間質腫瘤; 腹水; Fibrothecoma; Mesenchymal tumors; Ascites; |
語 文 | 英文(English) |
中文摘要 | 背景:卵巢纖維鞘瘤是由卵巢間質細胞而來,少見於年輕女性,且罕出現大量腹 水。 病例報告:本篇描述一位 24 歲年輕女性,因經血量多及下腹脹來求診。內診發現右側骨盆 腔一巨大卵巢硬性腫瘤。超音波檢查呈現一卵巢異質性腫瘤( 11.2 × 9.9 × 9.0cm ), 合併大量腹水。剖腹探查發現右側卵巢有一硬性腫瘤,合併 3000ml 腹水。病理報告為一良 性纖維鞘瘤。 結論:卵巢巨大纖維鞘瘤合併大量腹水罕見於年輕女性。術前超音波檢查,血液中荷爾蒙定 量及手術中的冰凍切片皆是必要的。 |
英文摘要 | Background: Fibrothecoma is an uncommon solid ovarian tumor of mesenchymal origin. We report a rare case of androgen-secreting fibrothecoma associated with marked ascites. Case report: A 24-year-old, gravida 0, woman presented at the gynecological clinic complaining of prolonged heavy periods and abdominal distention. Pelvic examination and sonography disclosed a 11.2 × 9.9 × 9.0 cm heterogeneous solid tumor at the right adnexa, associated with marked ascites. Doppler ultrasound revealed no detectable tumor vessels. Serum hormone profiles revealed androgenic effects. After surgery and pathologic examination, luteinized fibrothecoma of the ovary was diagnosed. Conclusion: Huge ovarian fibrothecoma with massive ascites occurring at a young age has been rarely described. Preoperative sonography is a useful guide in making a decision for surgical intervention. Frozen section during the operation and serum hormone analysis are obligatory procedures. |
本系統中英文摘要資訊取自各篇刊載內容。