自发性卵巢过度刺激综合征合并卵巢破裂一例并文献复习

卵巢过度刺激综合征（ovarian hyperstimulation syndrome,OHSS）是一种医源性疾病,常发生于辅助生殖技术中的控制性超排卵患者,但也可见于自发排卵周期,尤其是多胎妊娠、甲状腺功能减退和多囊卵巢综合征患者,自然妊娠并发OHSS的发生率极低,严重影响患者身体健康,甚至可危及生命。报道1例自发性卵巢过度刺激综合征（spontaneous ovarian hyperstimulation syndrome,sOHSS）并发卵巢破裂的病例,并探讨sOHSS的发病机制、临床表现、并发症、鉴别诊断及治疗,为临床诊治提供参考依据。     

A Case of Ovarian Pregnancy after Ipsilateral Partial Salpingectomy

We present a case report of an ovarian pregnancy after ipsilateral partial salpingectomy. A 19-year-old woman was admitted with vaginal bleeding and right lower abdominal pain. She had a history of right partial salpingectomy caused by a tubal pregnancy. The pregnancy test result was positive, and a right adnexal mass was identified by ultrasonography. Laparoscopy revealed a right ovarian pregnancy. Thus the possibility of ipsilateral ectopic pregnancy should be considered even when the patient has a history of salpingectomy total or partial.     

宫颈息肉样子宫内膜异位症多次误诊宫颈恶变一例

息肉样子宫内膜异位症（polypoid endometriosis,PEM）是一种良性且罕见的子宫内膜异位症。报告1例宫颈PEM合并子宫内膜复杂增生。1例38岁女性因持续阴道出血、宫颈肿物4 cm×5 cm×3 cm及血CA125升高就诊。磁共振成像（MRI）增强提示宫颈恶性肿瘤。经过4次不同的病理报告和2次手术,最终宫颈肿物病理诊断为PEM。PEM易误诊为恶性肿瘤,临床医生应多结合病史及肿瘤标志物等综合判断。     

足月妊娠伴自发性卵巢过度刺激综合征1例

目的:报道1例自然妊娠合并自发性卵巢过度刺激综合征(sOHSS)病例。方法:回顾性分析我院1例自然妊娠合并sOHSS患者的临床资料,并复习相关文献。结果:该患者于孕39周行子宫下段剖宫产术,同时行双侧卵巢楔形切除术+双侧卵巢打孔术。术中快速病理检查及术后常规病理检查结果示双侧卵巢黄素化囊肿。术后患者双侧卵巢迅速恢复正常。最终诊断为妊娠合并sOHSS。结论:妇产科医生需对sOHSS有充分的认识,需与卵巢肿瘤性疾病进行鉴别,以免因误诊而采取不适当的治疗。     

卵巢成熟性畸胎瘤合并腹膜胶质瘤病一例报告

腹膜胶质瘤病(gliomatosis peritonei,GP)是一种罕见的疾病,迄今仅报道100余例,典型临床表现是良性的、成熟的胶质组织广泛分布于腹膜,常与卵巢未成熟畸胎瘤(ovarian immature teratoma,OIT)同时存在。临床上必须经过彻底的切片检查,确定为成熟神经胶质组织,方可确诊。治疗多与原发肿瘤相关,但因该病罕见,尚未建立一套标准治疗方案。另因有极少部分病例有恶变可能,需长期随访观察。近年来,对于GP在发病机制、治疗及随访等方面均有新的进展,故本文就GP的研究进展进行探讨,为后续治疗提供参考。     

Inflammatory Breast Metastases of Ovarian Cancer: A Case Report

BACKGROUND: Metastasis to the breast from extramammary malignancies is rare. CASE: A 35-year-old woman presented with bilaterally inflammatory breast involvement, 2 years after the diagnosis of stage IIIC epithelial ovarian cancer. Neoplastic tissue was immunohistochemically positive using antibodies against OC125 and negative for gross cystic disease fluid protein-15 (BRST-2) and estrogen receptor in biopsy material in the breast. Combination chemotherapy consisting of paclitaxel, cisplatin, and anthracycline was started. She died 18 months after the breast metastasis. CONCLUSION: Ovarian carcinoma usually presents with signs and symptoms related to the tumor burden within the abdominal cavity. The finding of isolated, distant metastases such as breast involvement without intraabdominal disease is extremely rare. Determining the origin of the primary tumor is important in directing the actual therapy.     

Ovarian leiomyoma. Case report

We describe a case of primary ovarian leiomyoma in a 16 year old patient; both ovaries were affected. Since at intervention normal tissue was found, the left ovary was preserved and a 30-months follow-up was carried out. Tumour markers (CA-125; alpha-fetoprotein; CEA and beta-HCG) were tested. Such a case has not previously been reported. Etiopathogenesis is also discussed.     

Rare Case of Ovarian Cystic Lymphangioma

Lymphangiomas are rare, generally benign tumors of the lymphatic system comprised of multiple cystic spaces lined with endothelium. Lymphangiomas may arise in any part of the body. Lymphangioma of the ovary is rare; we have identified only 13 reports in a 50-year literature survey (PubMed 1959–2009). Typically, lymphangiomas are slow-growing tumors that remain asymptomatic for a long time. They are most often found incidentally in abdominal or pelvic imaging studies or at surgery or autopsy. Wide excision of the lesion with microscopically clear margins is the best approach when feasible. A postmenopausal woman had a symptomatic pelvic mass. Imaging studies demonstrated a complex left ovarian cyst. Complete removal of a cystic lymphangioma was successfully performed at laparoscopy. Cystic lymphangiomas should be included in the differential diagnosis of an ovarian cystic mass, and laparoscopic excision may be the method of treatment.