非妊娠滋养细胞疾病合并卵巢黄素囊肿62例分析

Theca Luteinized Cysts in Nongestational Trophoblastic Disease

目的探讨非妊娠滋养细胞疾病合并卵巢黄素囊肿（ＴＬＣ）的发生机制、诊断及处理。方法回顾分析临床、病理明确诊断的ＴＬＣ６２例。结果妊娠各期以及非妊娠期服用外源性激素或内源性激素不正常时均可能发生ＴＬＣ。大部分无症状，肿块不大，部分病人可表现为腹痛、肿块、异常阴道出血。结论非妊娠滋养细胞疾病合并ＴＬＣ临床多见，系激素反应性囊肿，应避免手术。

Objective To explore the mechanism,diagnosis and management of theca luteinized cyst(TLC)in nongestational trophoblatic disease. Methods 62 cases of histologically diagnosed TLC in nongestational trophoblastic disease were analysed retrospectively. Results TLC appeared during three trimesters of pregnanacy and nonpregnancy when exogenous hormone was adminstered or endogenous sexual hormone was imbalanced.Most cases had small tumor and no symptoms.Some patients had abdominal pain,tumor and vaginal bleeding. Conclusion TLC in nongestational trophoblastic disease is quite common.It is caused by hormone.Operation should be avoided.