摘要
目的 探讨恶性卵巢甲状腺肿的临床特征、诊治及预后,提高临床诊疗水平。方法 结合一例东部战区总医院妇产科诊治的恶性卵巢甲状腺肿的病例,复习文献,总结经验。结果 恶性卵巢甲状腺肿是指组织学诊断标准符合原发性甲状腺癌或生物学行为上有远处侵袭转移表现的卵巢甲状腺肿。因临床罕见,目前仍缺乏明确的诊断标准及处理原则。综合认为手术是首选治疗方法,早期肿瘤完整的患者可行切除患侧附件的手术,肿瘤破裂或卵巢外转移应行分期手术,术后应辅助治疗。结论 卵巢恶性甲状腺肿发病罕见,手术治疗是首选的方法,手术类型应取决于患者的年龄、生育要求及肿瘤情况,转移患者术后应辅助治疗。术后需长期随访。
Objective To explore the clinical characteristics, diagnosis, treatment and prognosis of malignant struma ovarii(MSO), and improve the level of clinical diagnosis and treatment. Methods Combined with one case of MSO diagnosed and treated in Department of Obstetrics and Gynecology of General Hospital of Eastern Theater Command, the literature was reviewed and the experience was summarized. Results MSO is an ovarian goiter whose histological diagnostic criteria are consistent with primary thyroid cancer or biological behavior with distant invasion and metastasis. Due to clinical rarity, there is still a lack of clear diagnostic criteria and treatment principles. It is considered that surgery is the first choice of treatment. Patients with complete early tumors can have surgery to remove the affected side of the appendix. Staged surgery should be performed for tumor rupture or extra-ovarian metastasis, and adjuvant treatment should be performed after surgery. Conclusion MSO is rare, and surgical treatment is the preferred method. The type of operation should depend on the patient’s age, fertility requirements and tumor conditions. Patients with metastasis should be treated with adjuvant therapy after operation. Long term follow-up is needed after operation.
作者
杨斌
陈赛英
肖梅
花灵芝
杨志慧
YANG Bin;CHEN Sai-ying;XIAO Mei;HUA Ling-zhi;YANG Zhi-hui(Department of Obstetrics and Gynecology,General Hospital of Eastern Theater Command,Nanjing,Jiangsu 210002,China)
出处
《中国临床研究》
CAS
2022年第6期823-827,共5页
Chinese Journal of Clinical Research
关键词
卵巢甲状腺肿
恶性
畸胎瘤
诊断
治疗
手术
放射碘治疗
Struma ovarii
malignant
Teratoma
Diagnosis
Treatment
Operation
Radioiodine therapy
