卵巢的清晰细胞边界瘤:一种罕见的实体
Kaarthiga Ramalingam Gopinath1, Chitra Thyagaraju2, Bhawana Ashok Badhe3
1Department of Obstetrics and Gynaecology, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, Puducherry, India mail2drkaarthiga@gmail.com.
BMJ case reports
|May 27, 2025
概括
这份病例报告详细介绍了一位患有不孕症和子宫内膜异位症的女性罕见的卵巢透明细胞边界瘤. 手术切除导致癌症抗原125 (CA-125) 水平正常化,患者的随访成功.
科学领域:
- 妇科瘤学 妇科瘤学
- 病理学 病理学 病理学
- 生殖医学 生殖医学
背景情况:
- 卵巢的边界清晰细胞瘤非常罕见,很少有文献记录了它们的发生.
- 该病例涉及一位患有初级不孕症,异常子宫出血和双边子宫内膜瘤囊的病史的患者.
研究的目的:
- 为了呈现一种罕见的卵巢清晰细胞边缘性瘤.
- 突出诊断和管理考虑在一个病人复杂的妇科病史.
主要方法:
- 临床表现和患者病史评估.
- 诊断成像包括CT扫描.
- 手术分期腹腔切除术和组织病理学检查.
- 瘤标志物的监测 (CA-125).
主要成果:
- 确定了一个大 (18x14厘米) 的右卵巢质量,以及一个左卵巢子宫内膜瘤囊.
- 组织病理学揭示了与清晰细胞边缘性瘤一致的特征,阳性纳普辛A.
- 手术后癌症抗原125 (CA-125) 的水平正常化.
结论:
- 卵巢清晰细胞边界瘤很少见,需要彻底调查,特别是在患有子宫内膜异位症的患者中.
- 综合成像,手术和病理发现的多学科评估对于诊断至关重要.
- 通过瘤标志物的正常化和定期随访,可以成功管理瘤.
相关概念视频
Oogenesis
64.5K
In human women, oogenesis produces one mature egg cell or ovum for every precursor cell that enters meiosis. This process differs in two unique ways from the equivalent procedure of spermatogenesis in males. First, meiotic divisions during oogenesis are asymmetric, meaning that a large oocyte (containing most of the cytoplasm) and minor polar body are produced as a result of meiosis I, and again following meiosis II. Since only oocytes will go on to form embryos if fertilized, this unequal...
64.5K
Ovaries
1.3K
The ovaries are roughly the size of almonds and measure approximately 2 to 3 centimeters in length. These paired structures are situated within the pelvic region and are anchored by the mesovarium—a peritoneal extension that also connects them to the wider structure of the broad ligament. The support system extends to the suspensory ligament, housing blood and lymphatic vessels. In addition, the ovarian ligament tethers the ovaries to the uterus.
On the ovarian surface, a layer of...
On the ovarian surface, a layer of...
1.3K
Ovarian Cycle
1.9K
The menstrual cycle includes a critical component known as the ovarian cycle, which undergoes two main phases each month—the follicular phase and the luteal phase. The follicular phase is variable and averaging around 14 days. Ovulation, triggered by a surge in luteinizing hormone (LH), marks the transition between the two phases. The second phase, the luteal phase, is relatively consistent, lasting approximately 14 days, and is marked by the activity of the corpus luteum. While a cycle...
1.9K


