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  1. 福島医学会
  2. Fukushima Journal of Medical Science
  3. Vol.66 (2020)

Malignant transformation arising from mature cystic teratoma of the ovary presenting as ovarian torsion: a case report and literature review

https://fmu.repo.nii.ac.jp/records/2001996
https://fmu.repo.nii.ac.jp/records/2001996
1d91aa95-cbbf-4d58-9ad7-0e2d869beca4
名前 / ファイル ライセンス アクション
FksmJMedSci_66_p44.pdf FksmJMedSci_66_p44.pdf (3.3 MB)
Item type デフォルトアイテムタイプ(フル)fmu(1)
公開日 2020-06-16
タイトル
タイトル Malignant transformation arising from mature cystic teratoma of the ovary presenting as ovarian torsion: a case report and literature review
言語 en
作成者 Toba, Naoya

× Toba, Naoya

en Toba, Naoya

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Takahashi, Toshifumi

× Takahashi, Toshifumi

en Takahashi, Toshifumi

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Ota, Kuniaki

× Ota, Kuniaki

en Ota, Kuniaki

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Takanashi, Atsuhiro

× Takanashi, Atsuhiro

en Takanashi, Atsuhiro

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Iizawa, Yoshiyuki

× Iizawa, Yoshiyuki

en Iizawa, Yoshiyuki

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Endo, Yuta

× Endo, Yuta

en Endo, Yuta

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Furukawa, Shigenori

× Furukawa, Shigenori

en Furukawa, Shigenori

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Soeda, Shu

× Soeda, Shu

en Soeda, Shu

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Watanabe, Takafumi

× Watanabe, Takafumi

en Watanabe, Takafumi

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Mizunuma, Hideki

× Mizunuma, Hideki

en Mizunuma, Hideki

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Fujimori, Keiya

× Fujimori, Keiya

en Fujimori, Keiya

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Takeichi, Kazuyuki

× Takeichi, Kazuyuki

en Takeichi, Kazuyuki

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権利情報
権利情報Resource https://creativecommons.org/licenses/by-nc-sa/4.0/
権利情報 © 2020 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license.
内容記述
内容記述タイプ Abstract
内容記述 Objective: Ovarian torsion is an acute gynecological condition. Torsion is more likely to occur with benign rather than malignant tumors. Mature cystic teratoma of the ovary (MCTO) is frequent in women of reproductive age; however, the incidence of malignant transformation is approximately 2%. We report a case of malignant transformation of MCTO presenting as ovarian tumor torsion. Case report: A 51-year-old premenopausal woman was diagnosed with mature cystic teratoma in the left ovary 7 years ago. The patient visited our hospital because she had been experiencing of pain in left lower abdomen for the past two days. She was diagnosed with ovarian tumor torsion and underwent emergency surgery. The left ovarian tumor was twisted, and left salpingo-oophorectomy was performed. Histopathological examination revealed squamous cell carcinoma arising from the MCTO. We carefully followed the patients without performing staging laparotomy. On postoperative day 112, multiple lymph node metastases in the pelvic and para-aortic areas were found by positron-emission tomography and computed tomography. After referral to a university hospital, total hysterectomy, right salpingo-oophorectomy, partial omentectomy, and pelvic and paraaortic lymphadenectomy were performed. Metastases of squamous cell carcinoma were confirmed in the pelvic and para-aortic lymph nodes. Six courses of adjuvant chemotherapy with paclitaxel and carboplatin were given following radical surgery to prevent the recurrence of malignant transformation of MCTO. No recurrence of the disease has been observed during 2 years of follow-up. Conclusio: When physicians diagnose large ovarian tumor torsion cases, preoperative examinations should be performed, with the possibility of malignancy in mind.
出版者
出版者 The Fukushima Society of Medical Science
言語
言語 eng
書誌情報 en : Fukushima Journal of Medical Science

巻 66, 号 1, p. 44-52, 発行日 2020
関連情報
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.5387/fms.2019-31
関連情報
識別子タイプ PMID
関連識別子 32161199
関連情報
識別子タイプ ICHUSHI
関連識別子 2020385348
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
収録物識別子
収録物識別子タイプ PISSN
収録物識別子 0016-2590
収録物識別子
収録物識別子タイプ EISSN
収録物識別子 2185-4610
収録物識別子
収録物識別子タイプ NCID
収録物識別子 AA0065246X
主題
主題Scheme Other
主題 acute abdomen
主題
主題Scheme Other
主題 ovarian torsion
主題
主題Scheme Other
主題 mature cystic teratoma
主題
主題Scheme Other
主題 malignant transformation
主題
主題Scheme Other
主題 squamous cell carcinoma
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