国际妇产科学杂志 ›› 2015, Vol. 42 ›› Issue (6): 634-636.

• 论著 • 上一篇    下一篇

原发性卵巢甲状腺肿类癌一例报告并文献复习

王宇,白晶,李爱军   

  1. 450003 郑州大学第一附属医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-12-15 发布日期:2015-12-15
  • 通讯作者: 李爱军

Primary Ovarian Carcinoid Goiter: A Case Report and Review of the Literature

WANG Yu,BAI Jing,LI Ai-jun   

  1. Department of Obstetrics and Gynecology,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450003,China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-12-15 Online:2015-12-15
  • Contact: LI Ai-jun

摘要: 目的:探讨原发性甲状腺肿类癌的临床表现、病理特点、治疗及预后。方法:回顾性分析郑州大学第一附属医院1例原发性卵巢甲状腺肿类癌的临床资料,包括临床表现、术前诊断、手术方式、病理结果和患者预后及术后随访肿瘤标记物。结果:患者于我院行“全子宫切除术+双附件切除术+盆腔淋巴结清扫术+阑尾切除术+大网膜切除术”,术后常规病理结果证实为原发性卵巢甲状腺肿类癌ⅠA期,术后便秘好转,随访至今2年3个月复查肿瘤标记物未降至正常,但各项影像学检查结果均无肿瘤复发及转移征象。结论:甲状腺肿类癌是一种非常罕见的恶性卵巢肿瘤,缺乏典型的临床症状及体征,对于伴有严重便秘患者应排除该类肿瘤,同时术后一定要进行比较全面的免疫组化检查。

关键词: 卵巢肿瘤, 类癌瘤, 便秘, 肿瘤标记, 生物学, 原发性卵巢甲状腺肿类癌

Abstract: Objective:To explore the clinical performance, pathological character, treatment and prognosis of primary ovarian carcinoid goiter. Methods:Retrospective analysis of clinical data of a case of primary ovarian carcinoid goiter in the First Affiliated Hospital of Zhengzhou University, including clinical manifestations, preoperative diagnosis, surgical procedures, pathologic findings, prognosis and postoperative follow-up tumor marker. Results: The patient had been carried out hysterectomy+bilateral salping-oophenrectomy+pelvic lymphadenectomy+omentum appendectomy surgery in our hospital. Routine pathological findings were demonstrated goiter primary ovarian carcinoidⅠA period, and constipation was improved after the surgery, tumor markers were not reduced to normal follow-up to now was two years and three months , but there was no signs of tumor recurrence and metastasis in all imaging findings. Conclusions:Goiter carcinoid is a very rare malignant ovarian tumors, lack of typical clinical symptoms and signs, for patients with severe constipation should eliminate this kind of tumor, and must be carried out a comprehensive immunohistochemical examination after the surgery.

Key words: Ovarian neoplasms, Carcinoid tumor, Constipation, Tumor markers, biological, Primary ovarian carcinoid goiter