妊娠黄体瘤1例报告并文献复习

目的：探讨妊娠黄体瘤（LP）的误诊原因。方法：对1例典型LP病例进行全面病理学检查和组化及免疫组化染色，与正常卵巢黄体进行对比分析，并复习文献。结果：LP均发生于妊娠后期，临床无明显自觉症状，其病理形态学、组织学、免疫组化反应与正常卵巢黄体相似。多在剖腹产时偶然发现而误为卵巢肿瘤。结论；LP为妊娠后期卵巢黄素化细胞的结节状增生，并非真性肿瘤。妊娠期出现卵巢明显增大，应首先考虑到本病的可能性。必要时术中可作活检，以避免误切卵巢。

Luteoma of Pregnancy:One Case Report and the Literature Revies

Objective:To elucidate the reasons for misdiagnosis of luteoma of pregnancy(LP).Method:A typical case of LP was investigated by pathologic morphology,histochemistry and immunohistochemistry.Normal coropus luteum were used as control,and the literature was reviewed as well.Result:LP occurred after second trimester during pregnancy without any clinical symptoms.The pathological morphology,histochemistry and immunohistochemistry reaction were similar to that of coropus luteum.Conclusion:Luteoma of pregnancy is not a true tumor,but the nodose proliferation of luteiznized cells of ovary during pregnancy.During pregnancy, the prominent swelling of overy should be first thought of LP in order to avoid misdiagnosis.