卵巢甲状腺肿9例临床及病理观察

目的分析良、恶性卵巢甲状腺肿的临床和病理特征,为该瘤的病理诊断和治疗提供依据.方法对 9例卵巢甲状腺肿的临床和病理进行观察和分析.结果患者年龄 29～ 64岁,平均为 40.6岁.良性卵巢甲状腺肿 8例,大体呈实性、囊实性、囊性,有 3例可辨认出甲状腺组织.5例肿瘤全部由甲状腺组织组成, 3例含有其它畸胎瘤成份.组织学类型有:单纯型、腺瘤型、囊性变型.恶性卵巢甲状腺肿 1例,组织学类型为甲状腺乳头状癌,采用根治性手术和 131I放疗,随访 8个月无复发.结论卵巢甲状腺肿可出现发生于颈部甲状腺相似的任何病理改变.恶性卵巢甲状腺肿的病理诊断标准、临床处理与颈部甲状腺癌一致.

A clinicopathological analysis of 9 cases struma ovarii

Objective To investigate the clinicopathological features of struma ovarii(SO)to provide bases for pathological diagnosis and clinical treatment. Methods Clinical data and pathological characteristics of SO were reviewed retrospectively in9cases. Results The patients age ranged from29to64years(mean40.6years).Benign SO(8cases)showed itself to be solid or cystiform-solid or cystiform and3cases could be made out thyroid by macrography.5cases were composed of thyroid completely and3cases contained other teratoma component.Histological types of SO included simple type and adenoma type and cystoid change type.One case of malignant SO was pure papillary thyroid carcinoma.This case of malignant SO was treated by surgical excision radically and I131actinotheraphy.There was not metastasis and recurrence in the patient of malignant SO with follow-up for8months. Conclusion Pathological change of SO can manifest all kinds of thyroid tumors in the neck.Pathological diagnosis and clinical treatment of malignant SO are the same as thyroid carcinoma in the neck.