国际妇产科学杂志

国际妇产科学杂志 ›› 2013, Vol. 40 ›› Issue (2): 191-193.

• 论著 • 上一篇    下一篇

卵巢甲状腺肿32例临床分析


毛静鑫， 王德华， 袁碧波， 江昌新   

  1. 300052 天津医科大学总医院妇科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2013-04-15 发布日期:2013-04-15
  • 通讯作者: 王德华

Clinical Analysis of 32 Struma Ovarii Cases

MAO Jing-xin，WANG De-hua，YUAN Bi-bo，JIANG Chang-xin   

  1. Department of Gynecology，Tianjin Medical University General Hospital，Tianjin 300052，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2013-04-15 Online:2013-04-15
  • Contact: WANG De-hua

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被引次数

22

摘要： 目的：探讨卵巢甲状腺肿的临床特性、诊断及治疗方法。方法：回顾性分析1994年1月—2012年3月天津医科大学总医院妇科收治的32例卵巢甲状腺肿患者的临床资料。结果：卵巢甲状腺肿占同期卵巢畸胎瘤的4.3%（32/745），恶变率6.25%（2/32），平均发病年龄46.8（22~78）岁。临床表现为盆腔或附件区包块，可伴腹痛、腹胀、腹水、尿急尿频。肿瘤平均直径6.9（3.0 ~15.0） cm。CA125平均值28.6 U/mL，4例升高（38.1~174 U/mL）。影像学检查无明显特征性表现。最终诊断依赖于病理检查结果。平均随访时间58个月（2个月~12年），无复发。结论：卵巢甲状腺肿临床较少见，临床症状无明显特征性，术前诊断率低，预后普遍较好。因部分病例可伴有癌变、混有脑组织，或出现甲亢症状，仍需引起临床重视。

关键词: 卵巢甲状腺肿, 诊断, 治疗, 预后

Abstract: Objective：To investigate the clinicialpathoiogy，diagnostic approachs，therapies，and prognosis of struma ovarii. Methods：From Jan. 1994 to Mar. 2012，the data of 32 patients with struma ovarii in the Department of Gynecology in Tianjin Medical University General Hospital，were analyzed retrospectively. Results：Struma ovarii occured within ovarian teratomas at rate of 4.3%（32/745），and the rate of malignant change was 6.25%（2/32）. The average age of the patients was 46.8 years old（range from 22 to 78）. The patients mainly presented as pelvic or adnexal mass，accompanying with hypogastralgia， abdominal distension，ascites，urgent urination，or frequent micturition. The average diameter of turmors was 6.9 cm （range from 3.0 to 15.0 cm）. The mean of CA125 level was 28.6 U/mL，and elevated serum CA125 of 4 cases was detected in different level （range from 38.1-174 U/mL）. There was no feature in image examinations. Final diagnosis based on pathology. No reoccurrence found within mean follow-up of 58 months after operation. Conclusions：Struma ovarii is rare in clinical. Because of no obvious clinical feature，the preoperative misdiagnosis rate is high，but the prognosis is good for most of patients. Meanwhile，it is necessary to pay more attention to these patients with malignant transformation，mixture with brain tissue，or hyperthyroidism.

Key words: Struma ovarii, Diagnosis, Therapy, Prognosis