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題 名 | Mature Teratoma with Secodary Infection: Case Report=卵巢畸胎瘤併續發性感染;病例報告 |
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作 者 | 李文齡; 顏明賢; 曾仁宇; 余國煥; 王鵬惠; | 書刊名 | 長庚醫學 |
卷 期 | 22:2 1999.06[民88.06] |
頁 次 | 頁339-343 |
分類號 | 417.25 |
關鍵詞 | 卵巢畸胎瘤; 續發性感染; Mature teratoma; Secondary infection; |
語 文 | 英文(English) |
中文摘要 | 在生育年齡的婦女而言,卵巢畸胎瘤是一種常見卵巢腫瘤,其偶而會併發扭轉、 破裂和惡性變化,然而其以長期的不明熱來表現,則是少見。在此筆者報告一位 35 歲的婦 女,以近 1 個月的發燒為起始表現, 雖經多家診所治療 (非婦產科診所或醫院 ),均未有 確切的改善。最後病人到本院求診並接受婦產科會診後接受剖腹探查,才得到卵巢畸胎瘤併 發大腸桿菌感染的診斷。 病人也在術後 5 天體溫恢復到正常。由此少見病例,我們瞭解到 ,雖然病人發燒一般均到一般診所求診,但是少數的情況須要多科專家會診,才能適當處置 。並瞭解到卵巢畸胎瘤雖不常以發燒為臨床表徵,但是我們仍須將此情形作一鑑別診斷,唯 有結合手術以及抗生素治療,才能治癒此類病人。 |
英文摘要 | Mature teratoma (dermoid cyst) is a common disorder in women of reproductive age. Sometimes the tumor is complicated by torsion, rupture, and malignant change. However, it rarely presents with fever. We present a 38-year-old woman with an intermittent fever for 30 days, who received occasional medical treatment without improvement. She was to our clinic for evaluation and treatment; however, fever persisted for three days without clinical improvement. No definite infection source could be identified except the presence of a huge pelvic tumor. The patient underwent exploratory laparotomy and an ovarian dermoid cyst with infection was noted. Pathology review revealed mature teratoma with superimposed infection by Escherichia coli. Fever impressively subsided on the fifth postoperative day. Although the majority of patients suffering from fever initially search for medical treatment at primary clinics, rare conditions such as persistent fever should be consulted by specialists to make differential diagnosis. Mature teratoma is rarely superimposed by infection and rarely causes fever. Furthermore, the possibility of fever caused by tubo-ovarian abscess (TOA) is often missed in patients with history of tubal ligation since there is a lower incidence of TOA in these unique patients. However, based on this case report, we should be alert whenever long-term fever is noted. Prompt surgical treatment for extirpation and an appropriate antibiotic treatment would be the choice of treatment in such cases. |
本系統中英文摘要資訊取自各篇刊載內容。