Primary and recurrent serous borderline tumors during pregnancy: a case report and literature review
Primary and recurrent serous borderline tumors during pregnancy: a case report and literature review
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妊娠期原发性和复发性浆液性交界性肿瘤一例报告及文献复习
DOI：
10.1007/s13691-021-00471-5
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发表时间：
2021
影响因子：
0.7
通讯作者：
Takaaki Yoshida
中科院分区：
文献类型：
--
作者：
A. Matsumoto;Takuma Ito;Fumika Hamaguchi;Maya Kasuga;Teppei Mikami;M. Hino;R. Yokoyama;Shogo Yamamura;Harumi Sakata;S. Minamiguchi;M. Mandai;Takaaki Yoshida
妊娠期卵巢交界性肿瘤的诊断和处理仍不规范，因为这些肿瘤很少遇到。我们报告的情况下，一个27岁的孕妇谁提出了卵巢肿块在她的头三个月。磁振造影显示子宫内膜异位症背景下的多房性囊性成分伴乳头状病变，提示为浆液粘液性交界性肿瘤或卵巢癌。妊娠7周时行右侧输卵管卵巢切除术和部分网膜切除术。病理检查证实为浆液性交界性肿瘤。随后的怀孕过程很顺利，她在怀孕39周时生下了一个健康的婴儿。她想保留生育能力，并进行了密切随访。四年后，她怀孕了，并发现了一个表明左卵巢复发的病变。在妊娠13周时进行了腹部左卵巢囊肿切除术，证实浆液性交界性肿瘤复发。她在怀孕39周时生下了一个健康的婴儿。分娩后两个月，她接受了全腹子宫切除术和左输卵管卵巢切除术，没有发现恶性结果。我们还回顾了10份报告，其中包括58例妊娠期间诊断的交界性卵巢肿瘤。妊娠期诊断的卵巢交界性肿瘤各亚型表现出不同的特征，提示术前诊断卵巢交界性肿瘤亚型的重要性。
The diagnosis and management of borderline ovarian tumors during pregnancy are still not standardized, because these tumors are rarely encountered. We report the case of a 27-year-old pregnant woman who presented with an ovarian mass in her first trimester. Magnetic resonance imaging revealed a multilocular cystic component with papillary lesions in the background of endometriosis, suggesting a seromucinous borderline tumor or ovarian cancer. A right salpingo-oophorectomy and partial omentectomy were performed at 7 weeks of gestation. Pathological examination demonstrated a serous borderline tumor. The subsequent pregnancy course was uneventful, and she gave birth to a healthy baby at 39 weeks of gestation. She wanted to retain fertility, and close follow-up was performed. Four years later, she became pregnant, and a lesion suggesting recurrence in the left ovary was detected. An abdominal left ovarian cystectomy was performed at 13 weeks of gestation, which demonstrated recurrence of the serous borderline tumor. She gave birth to a healthy baby at 39 weeks of gestation. Two months after delivery, she underwent total abdominal hysterectomy with left salpingo-oophorectomy, which revealed no malignant findings. We also reviewed 10 reports that included 58 cases of borderline ovarian tumors diagnosed during pregnancy. The borderline ovarian tumors diagnosed during pregnancy exhibited different characteristics according to each subtype, suggesting the importance of diagnosing borderline ovarian tumor subtypes preoperatively.