摘要
卵巢甲状腺肿类癌的发病率极低,到目前为止,国内外总共报道病例约150例。该病为单胚层畸胎瘤中的一种,常以甲状腺滤泡组织与具有神经内分泌功能的类癌组织混合存在为特征性表现。患者多无典型的临床表现,常因偶然发现下腹部包块而就诊,少数患者可出现类癌综合征、便秘和内分泌异常等。该病术前不易诊断,其最终确诊依赖于术后组织病理和免疫组织化学检查。该肿瘤的恶性程度低,不易出现转移和复发,预后较好,单纯行病侧卵巢或附件切除是一种有效的治疗措施。
The incidence of strumal carcinoid of ovary is very low with about 150 cases reported in the world so far. This tumor is a type of monodermal ovarian teratoma, histologically characterized by the presence of mixed thyroid follicular cells and earcinoid tissues with neuroendoerine function. Patients suffering from this disease often have no typical clinical manifestations, and are usually diagnosed by the accidental discovery of abdominal mass, few of which are accompanied with carcinoid syndrome, constipation, endocrine abnormalities and other discomfort. Preoperative diagnosis of this disease is diffi- eult, and the final diagnosis should depend on postoperative histopathological and immunohistochemical examination. This disease is not prone to metastasis and recurrence and has a good prognosis with unilateral salpingo-oophorectomy being an effective treatment for its low malignancy.
作者
何松明
洪莉
HE Songming HONG Li.(Department of Gynecology, Renmin Hospital of Wuhan University, Wahan 430060, Chin)
出处
《医学综述》
2017年第21期4246-4251,共6页
Medical Recapitulate
关键词
卵巢癌
卵巢甲状腺肿类癌
畸胎瘤
Ovarian cancer
Ovarian strumal carcinoid
Teratoma
