Objective To report a case of benign mature cystic teratoma of fallopian tube along with endometrial ovarian cyst, occasionally found during the operation. Methods A 30-year-old patient complained of mild dysmenorrhea...Objective To report a case of benign mature cystic teratoma of fallopian tube along with endometrial ovarian cyst, occasionally found during the operation. Methods A 30-year-old patient complained of mild dysmenorrhea and gradual enlargement of bilateral adnexal cysts in the past one year. At the age of 27 she had undergone a laparoscopic right ovarian endometrial cyst ablation. Before the second operation, pelvic ultrasound revealed recurrence of bilateral cysts in the adnexal regions, as well as serum concentrations of CA19-9 and CA125 above normal limits. Laparotomy revealed a 7 cm cystic mass of the right ovary, tightly adhesive to the lateral pelvic; a 10 cm-large mass on the left adnexal region embedded among intestines. The left adnexal mass appeared to be attached to the fimbriated end of the left fallopian tube with the ipsi-lateral ovary. However the left fallopian tube was obscure because of severe synechia. After separating the adhesion, we found the left hydrosalpinx. Results During laparotomy, both the cyst on the right ovary and the left fallopian tube were removed. Grossly, it revealed enlargement of the left fallopian tube in diameter 1.3 cm, with 2 neoplasms, in diameter 0.6 cm and off-white and smooth appearance. This mass was considered to be a mature solid teratoma arising in the left fallopian tube. At the same time it indicated left hydrosalpinx. Conclusion Although mature cystic teratomas are derived from ovarian germ cells （in proportion of 16%-20%）, mature teratoma of the fallopian tube is very rare. Once diagnosis, the operation will be recommended. This case was revealed during the laparotomy accidentally. The prognosis was good.展开更多
目的:探讨腹腔镜辅助手术治疗巨大卵巢囊肿的方法和可行性。方法:对18例巨大卵巢囊肿患者行腹腔镜辅助手术治疗,镜下行囊肿穿刺抽吸囊液,经11 mm Trocar切口将囊壁牵拉出腹腔外处理,根据病情行囊肿剥除术或附件切除术。结果:18例患者均...目的:探讨腹腔镜辅助手术治疗巨大卵巢囊肿的方法和可行性。方法:对18例巨大卵巢囊肿患者行腹腔镜辅助手术治疗,镜下行囊肿穿刺抽吸囊液,经11 mm Trocar切口将囊壁牵拉出腹腔外处理,根据病情行囊肿剥除术或附件切除术。结果:18例患者均在腹腔镜辅助下完成手术,术中未发生任何并发症,术中出血(50.3±10.2)ml,平均手术时间(51.3±12.3)min,术后平均住院日(3.4±1.6)天。结论:在严格选择病例的前提下进行腹腔镜辅助手术治疗巨大卵巢囊肿,创伤小、术后恢复快,有较大的应用价值。展开更多
文摘Objective To report a case of benign mature cystic teratoma of fallopian tube along with endometrial ovarian cyst, occasionally found during the operation. Methods A 30-year-old patient complained of mild dysmenorrhea and gradual enlargement of bilateral adnexal cysts in the past one year. At the age of 27 she had undergone a laparoscopic right ovarian endometrial cyst ablation. Before the second operation, pelvic ultrasound revealed recurrence of bilateral cysts in the adnexal regions, as well as serum concentrations of CA19-9 and CA125 above normal limits. Laparotomy revealed a 7 cm cystic mass of the right ovary, tightly adhesive to the lateral pelvic; a 10 cm-large mass on the left adnexal region embedded among intestines. The left adnexal mass appeared to be attached to the fimbriated end of the left fallopian tube with the ipsi-lateral ovary. However the left fallopian tube was obscure because of severe synechia. After separating the adhesion, we found the left hydrosalpinx. Results During laparotomy, both the cyst on the right ovary and the left fallopian tube were removed. Grossly, it revealed enlargement of the left fallopian tube in diameter 1.3 cm, with 2 neoplasms, in diameter 0.6 cm and off-white and smooth appearance. This mass was considered to be a mature solid teratoma arising in the left fallopian tube. At the same time it indicated left hydrosalpinx. Conclusion Although mature cystic teratomas are derived from ovarian germ cells （in proportion of 16%-20%）, mature teratoma of the fallopian tube is very rare. Once diagnosis, the operation will be recommended. This case was revealed during the laparotomy accidentally. The prognosis was good.
文摘目的:探讨腹腔镜辅助手术治疗巨大卵巢囊肿的方法和可行性。方法:对18例巨大卵巢囊肿患者行腹腔镜辅助手术治疗,镜下行囊肿穿刺抽吸囊液,经11 mm Trocar切口将囊壁牵拉出腹腔外处理,根据病情行囊肿剥除术或附件切除术。结果:18例患者均在腹腔镜辅助下完成手术,术中未发生任何并发症,术中出血(50.3±10.2)ml,平均手术时间(51.3±12.3)min,术后平均住院日(3.4±1.6)天。结论:在严格选择病例的前提下进行腹腔镜辅助手术治疗巨大卵巢囊肿,创伤小、术后恢复快,有较大的应用价值。
