巨大卵巢甲状腺肿一例

Giant ovarian goiter: one case report

卵巢甲状腺肿是一类完全或主要由甲状腺组织构成的单胚层成熟性畸胎瘤,占所有卵巢畸胎瘤的1%~3%、所有卵巢肿瘤的0.3%~1.0%。该文报道了1例巨大卵巢甲状腺肿患者的诊治经过,该例患者因下腹部隆起7年、加重伴腹胀不适2年入院,入院完善相关检查后行剖腹探查术。术中见盆腹腔内一大小约20 cm×18 cm×10 cm囊实混合性肿物,予经腹全子宫+双侧附件切除术,术后病理回报符合卵巢甲状腺肿。术后随访1年,患者阴道断端愈合良好,肿瘤标志物等指标恢复至正常,妇科及甲状腺彩色多普勒超声均未见明显异常。该例的诊治过程提示,卵巢甲状腺肿临床症状缺乏特异性,易误诊,临床医师应提高对此病的认识,增强早期筛查意识,提升诊治水平。

Ovarian goiter is a kind of single-embryonic mature teratoma composed entirely or mainly of thyroid tissues, which merely accounts for 1%-3% of all ovarian teratomas and 0.3%-1.0% of all ovarian tumors. In this article, the diagnosis and treatment of one case of giant ovarian goiter were reported. The patient was admitted to hospital because of the lower abdominal bulge for 7 years, which was aggravated complicated with abdominal distension and discomfort for 2 years. Abdominal exploration was performed after relevant examinations. During the operation, a mixed mass of cyst was observed in the pelvic abdominal cavity, approximately 20 cm×18 cm×10 cm in size. She underwent abdominal hysterectomy combined with bilateral adnexal resection. Postoperative pathological examination confirmed the diagnosis of ovarian goiter. During 1-year follow-up, the vaginal lesion was properly healed. Tumor biomarkers and other parameters were restored normal. No evident abnormality was detected by gynecological and thyroid color ultrasound. The diagnosis and treatment of this case prompts that clinical symptoms of ovarian goiter are lack of specificity, which is likely to be misdiagnosed. Clinicians should improve the understanding of this disease, enhance the awareness of early screening and enhance the diagnostic and treatment level.