卵巢甲状腺肿1例报告

One Case Report of Ovarian Goiter

目的:探讨卵巢甲状腺囊肿的诊断及治疗。方法:汇报1例陕西省人民医院妇科诊治的卵巢甲状腺肿病例,分析其临床资料、影像学检查及治疗。并进行文献复习及总结。结果:卵巢甲状腺肿是一种罕见的卵巢良性畸胎瘤,发病率低,且多为良性肿瘤,极少数可进展成为恶性甲状腺肿,以甲状腺乳头状癌和滤泡癌最为常见,目前主要通过单个病例报道文献了解该疾病,目前治疗方案首选手术治疗,若术后发生恶性甲状腺肿转移,给予辅助甲状腺切除及I131治疗并且经验性给予化学治疗。本例卵巢甲状腺肿病例行腹腔镜双侧附件切除术,术后随访8个月,未见复发或远处转移。结论:卵巢甲状腺肿发病率低,首选手术治疗,治疗方案取决于年龄、生育情况、术中情况、肿瘤性质、全身情况,术后若发生恶性甲状腺肿转移,给予辅助治疗。Objective: To explore the diagnosis and treatment of ovarian thyroid cyst. Methods: A case of ovarian goiter diagnosed and treated by gynecology department of Shaanxi Provincial People’s Hospital was reported. The clinical data, imaging examination and treatment were analyzed. And make the literature review and summary. Results: Struma ovarii is a rare benign teratoma of ovary with a low incidence and mostly benign tumors, and very few of them can progress to malignant struma, the most common of which are papillary carcinoma and follicular carcinoma of thyroid. At present, this disease is mainly understood through single case reports and literatures. At present, surgical treatment is the preferred treatment. If malignant goiter metastasis occurs after surgery, adjuvant thyroidectomy and I131 therapy are given and chemotherapy is empirically administered. This case of struma ovarii underwent laparoscopic bilateral adnexectomy and was followed up for 8 months. No recurrence or distant metastasis was observed. Conclusion: The incidence of ovarian goiter is low, the first choice of surgical treatment, treatment depends on age, fertility, intraoperative conditions, tumor nature and systemic conditions. If malignant goiter metastasis occurs after surgery, adjuvant treatment should be given.