A 64-year-old woman with no particular history presented with chronic pelvic pain since November 2021. The ultrasound performed showed multiple right ovarian cystic ranging from 0.4 to 4 cm on the long axis. She under...A 64-year-old woman with no particular history presented with chronic pelvic pain since November 2021. The ultrasound performed showed multiple right ovarian cystic ranging from 0.4 to 4 cm on the long axis. She underwent a right salpingo-oophorectomy in May 2022. The anatomical pathology result is in favor of a papillary carcinoma developed on stroma ovarii. No adjuvant treatment was necessary since the tumor was well limited, without capsular rupture, stage IA. The thyroid test was normal. The patient is currently being monitored. There is no sign of recurrence 20 months after surgery.展开更多
Ovarian goiter is a form of single tissue teratoma of the ovary, accounting for 2% - 3% of mature ovarian teratomas. Malignant transformation may occur in rare cases. Papillary thyroid-type carcinoma represents the mo...Ovarian goiter is a form of single tissue teratoma of the ovary, accounting for 2% - 3% of mature ovarian teratomas. Malignant transformation may occur in rare cases. Papillary thyroid-type carcinoma represents the most common type of malignant struma ovarii, followed by follicular carcinoma. Malignant struma ovarii is commonly seen in women in the fifth decade. The diagnosis is often made post-operatively after histological examination. Histology also helps assess tumor aggressiveness (mitoses, necrosis, poorly differentiated subtype, etc.). Given the rarity of these lesions, no therapeutic consensus or prognostic value had yet been formally established. We report herein, the case of a 76-year-old woman with a cystic tumor of the right ovary and a nodular lesion of the bladder. The clinical symptomatology is nonspecific, associating abdomino-pelvic pain and a right latero-uterine mass on abdominal palpation. After total hysterectomy with bilateral adnexectomy, the diagnosis of papillary carcinoma arising from struma ovarii and extending into the bladder was made. Through this observation, we suggest to discuss the anatomoclinical particularities of this rare pathological entity.展开更多
目的:探讨CK19、Galectin-3及CD56在良恶性卵巢甲状腺肿鉴别诊断中的应用价值。方法:采用免疫组化法检测6例卵巢甲状腺癌和10例卵巢甲状腺肿组织中CK19、Galectin-3及CD56蛋白表达情况。结果:卵巢甲状腺癌组织中CK19、Galectin-3蛋白的...目的:探讨CK19、Galectin-3及CD56在良恶性卵巢甲状腺肿鉴别诊断中的应用价值。方法:采用免疫组化法检测6例卵巢甲状腺癌和10例卵巢甲状腺肿组织中CK19、Galectin-3及CD56蛋白表达情况。结果:卵巢甲状腺癌组织中CK19、Galectin-3蛋白的表达高于卵巢甲状腺肿组织(t=4.807,3.835,P均<0.05),CD56蛋白的表达低于卵巢甲状腺肿组织(t=3.105,P均<0.05)。分别利用CK19、Galectin-3及CD56蛋白表达水平绘制ROC曲线,曲线下面积(AUC)分别为0.983、0.933和0.867;以其中1个指标恶性即判定为恶性,则3者联合检测对良恶性卵巢甲状腺肿鉴别诊断的灵敏度可达100%。结论:CK19、Galectin-3及CD56对卵巢甲状腺肿良恶性的鉴别有很好的应用价值。Value of CK19,Galectin-3,and CD56 in the differential diagnosis about benign and malignant struma展开更多
文摘A 64-year-old woman with no particular history presented with chronic pelvic pain since November 2021. The ultrasound performed showed multiple right ovarian cystic ranging from 0.4 to 4 cm on the long axis. She underwent a right salpingo-oophorectomy in May 2022. The anatomical pathology result is in favor of a papillary carcinoma developed on stroma ovarii. No adjuvant treatment was necessary since the tumor was well limited, without capsular rupture, stage IA. The thyroid test was normal. The patient is currently being monitored. There is no sign of recurrence 20 months after surgery.
文摘Ovarian goiter is a form of single tissue teratoma of the ovary, accounting for 2% - 3% of mature ovarian teratomas. Malignant transformation may occur in rare cases. Papillary thyroid-type carcinoma represents the most common type of malignant struma ovarii, followed by follicular carcinoma. Malignant struma ovarii is commonly seen in women in the fifth decade. The diagnosis is often made post-operatively after histological examination. Histology also helps assess tumor aggressiveness (mitoses, necrosis, poorly differentiated subtype, etc.). Given the rarity of these lesions, no therapeutic consensus or prognostic value had yet been formally established. We report herein, the case of a 76-year-old woman with a cystic tumor of the right ovary and a nodular lesion of the bladder. The clinical symptomatology is nonspecific, associating abdomino-pelvic pain and a right latero-uterine mass on abdominal palpation. After total hysterectomy with bilateral adnexectomy, the diagnosis of papillary carcinoma arising from struma ovarii and extending into the bladder was made. Through this observation, we suggest to discuss the anatomoclinical particularities of this rare pathological entity.
文摘目的:探讨CK19、Galectin-3及CD56在良恶性卵巢甲状腺肿鉴别诊断中的应用价值。方法:采用免疫组化法检测6例卵巢甲状腺癌和10例卵巢甲状腺肿组织中CK19、Galectin-3及CD56蛋白表达情况。结果:卵巢甲状腺癌组织中CK19、Galectin-3蛋白的表达高于卵巢甲状腺肿组织(t=4.807,3.835,P均<0.05),CD56蛋白的表达低于卵巢甲状腺肿组织(t=3.105,P均<0.05)。分别利用CK19、Galectin-3及CD56蛋白表达水平绘制ROC曲线,曲线下面积(AUC)分别为0.983、0.933和0.867;以其中1个指标恶性即判定为恶性,则3者联合检测对良恶性卵巢甲状腺肿鉴别诊断的灵敏度可达100%。结论:CK19、Galectin-3及CD56对卵巢甲状腺肿良恶性的鉴别有很好的应用价值。Value of CK19,Galectin-3,and CD56 in the differential diagnosis about benign and malignant struma
