原发性卵巢恶性黑色素瘤合并成熟性畸胎瘤一例并文献复习

Primary malignant melanoma of ovarian mature teratoma: a case report and literature review

原发性卵巢恶性黑色素瘤临床罕见,恶性程度高、预后差。本文回顾性分析了1例原发性卵巢恶性黑色素瘤合并成熟性畸胎瘤病例,患者表现为腹胀,盆腔核磁示盆腔内可见巨大囊实性肿块,盆腹腔大量积液。给予手术处理,病理证实为原发性卵巢恶性黑色素瘤伴成熟性畸胎瘤,随访4个月,患者因多器官功能衰竭死亡。同时复习了该病相关文献资料,以提高对本病的认识。

Primary malignant melanoma of ovary is rare clinically,with high malignancy and poor prognosis.This article retrospectively analyzed a case of primary ovarian malignant melanoma with mature teratoma.The patient showed abdominal distension,and the pelvic magnetic resonance imaging showed a large cystic solid mass in the pelvic cavity,and a large amount of fluid in the pelvic and abdominal cavity.Surgical treatment was given.Histopathological result was confirmed as primary ovarian malignant melanoma with mature teratoma.The patient died of multiple orgon failure after 4 months of followed-up.This paper reviewed the relevant literature to improve the understanding of the disease.