剖腹探查术
医学
卵巢畸胎瘤
腹胀
畸胎瘤
背景(考古学)
病理
淋巴结
类癌
剖腹手术
放射科
卵巢
子宫切除术
卵巢肿瘤
卵巢癌
鉴别诊断
癌症
外科
内科学
生物
古生物学
作者
Tracy S. Halvorson,Robert A. Robinson,Megan I. Samuelson
出处
期刊:International Journal of Gynecological Pathology
[Ovid Technologies (Wolters Kluwer)]
日期:2020-03-16
卷期号:40 (3): 301-304
被引量:5
标识
DOI:10.1097/pgp.0000000000000675
摘要
Primary ovarian carcinoid tumors are uncommon neoplasms that typically arise in the context of a mature cystic teratoma. Pure primary ovarian carcinoid tumors (PPOCTs) are rare and present as a solid ovarian mass in which, by definition, elements of an associated teratoma or other neoplasm are absent. We report a case of a middle-aged woman who presented with abdominal distension. Computed tomography identified a 20 cm abdominopelvic mass. The patient underwent exploratory laparotomy, hysterectomy, and bilateral salpingo-oophorectomy. A large, solid, yellow-tan ovarian mass was resected and diagnosed as a PPOCT. Para-aortic lymph node metastases were identified. This case highlights the gross and microscopic findings characteristic of PPOCTs. In addition, the large number of differential considerations for an insular PPOCT at intraoperative evaluation are discussed.
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