输卵管畸胎瘤扭转1例并文献复习

Torsion of Teratoma of Fallopian Tube: A Case Report and Literature Review

摘要: 目的：总结分析输卵管畸胎瘤的临床特点、辅助检查、诊断及治疗。方法：报告1例输卵管畸胎瘤进行分析并复习文献。结果：输卵管畸胎瘤极为罕见，一般较难在手术前准确诊断，多于盆腔手术中偶然发现并经病理确诊。输卵管畸胎瘤为囊实性或实性，多数病灶在输卵管的峡部或壶腹部。组织上与卵巢畸胎瘤相同，具有多向分化潜能的生殖细胞，含有三个胚层衍化的组织。结论：输卵管畸胎瘤临床表现无特异，易误诊，存在扭转、破裂、恶变等风险，应及时进行手术治疗。

Abstract: Objective: To summarize and analyze the clinical characteristics, auxiliary examination, diagnosis and treatment of fallopian tube teratoma. Methods: A case of tubal teratoma was reported and the literature was reviewed. Results: Teratoma of fallopian tube is very rare, which is difficult to be di-agnosed accurately before operation, more than that occasionally found in pelvic surgery and con-firmed by pathology. The teratoma of fallopian tube is solid or cystic, and most of the lesions are lo-cated in the isthmus or ampulla of fallopian tube. Histologically, it is the same as ovarian teratoma, and has the potential of multi differentiation. It contains three embryonic derived tissues. Conclu-sion: The clinical manifestation of tubal teratoma is nonspecific, and it is easy to be misdiagnosed. There are risks of torsion, rupture, and malignant transformation, which should be treated in time.