Buradasınız

Anasayfa » Content

İmmatür teratom ve ayırıcı tanısı

İmmature teratoma and its differential diagnosis

Journal Name:

  • Selçuk Tıp Dergisi

Publication Year:

  • 2004

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
Aim: To repodan immature teratoma case that was differentiated from mature teratoma. Case report: A 29year old woman consulted to Gynecology and Obsten'cs cünic with pelvic pain. İn the history of the patient, it was un-derstood that she had left sided ooferectomy due to left ovarial cyst. At that time the ovarial pathologyhad been reported as normal. İn the pelvic examination of the patient a pelvic mass that can not be differentiated from ute-rus was detected. İn the pelvic ultrasonography of the patient, at the right ovarial area a smooth bordered hete-rogenous mass that had calcified areas with in the body, and that was measured as to be 11x11 cm and found to have soiid and cystic components was detected.ln the laboratory finding AFP: 10,5(0-7), CEA: 6,4 (0-4,1), CA125: 32,9 (0-21), CA19.9: 322 (0-18,4), CA 15.3 : 24,5 (7,5-53 ), HCG < 1 was found. The patient had been operated, the right ovarial mass extirpatı'on and right ooferectomy had been done, The diagnosis with the histopathological examination of the mass was defined as immature teratoma grade-l. Conclusion: İt is needed to get several biop-sies of the pathological spesimen in order not to skip. The immature components of the teratomas and neural com¬ponents should be shown with immunohistochemical methods.
Bookmark/Search this post with
Abstract (Original Language): 
Amaç: Matür teratomdan ayırıcı tanısı yapılan bir immaîür teratom vakasının sunulması. Olgu sunumu: 29 ya¬şındaki bayan hasta kasık ağrısı şikayeti ile Kadın Hastalıkları ve Doğum Kliniği'ne başvurdu. Hastanın anamne-zinden 13 yaşında iken sol ovarial kist nedeniyle sol ooferektomi geçirdiği Öğrenildi. O dönemde sol överin pato¬lojik incelemesinin normal olduğu söylenmiş. Hastanın yapılan pelvik muayenesinde uterustan net aynlamayan pelvik kitlesinin olduğu saptandı. Hastanın pelvik ultrasonografisinde ise sağ ovarial bölgede 11x11 cm tik soiid, kistik yapıları olan kalsifik alanlar İçeren düzgün sınırlı heterojen kitle izlendi. Labaratuvar bulgularından AFP: 10,5 (0-7), CEA: 6,4 (0-4,1), CA125: 32,9 (0-21), CA19.9: 322 (0-18,4), CA 15.3 : 24,5 (7,5-53 ), HCG < 1 olarak bulundu. Hastaya sağ ovarial kitle ekstirpasyonu ve sağ ooferektomi yapıldı. Operasyon sonrası histopatolojik in¬celemede immatür teratom grade-l tanısı verildi. Sonuç: Teratomlarda immatür komponentin atlanmaması için çok sayıda parça alınması ve nöral elemanların immünohistokimyasal çalışma ile gösterilmesi gerekmektedir.
FULL TEXT (PDF): 
PDF icon arastirmax-immatur-teratom-ayirici-tanisi.pdf
  • 1
39-41
  • Turkish

REFERENCES

References: 

1- Nogales F. Germ celi tumours of the ovary Fox H. Obstetrİcal and Gynaecoİogy. 1987;(3): 637-76.
2- Nishida T, Nishida T, Oda T, Sugiyama T, Yakushiji M. A clinico-paihological study of ovarian soiid teratomas. Nippon Sanka Fujinka Gakkai Zasshi, 1983; 35(3):259-65.
3- teeper TA, Mukai K. Soiid ovarian teratomas: an immu-nocytochemical study of thirteen cases with clinicopat-hologic correlation. Pathol Annu 1984;(19) :81-92.
4- Bahari CM, Lurie M, Schoenfeld A, Joel-Cohen SJ. Ovarian teratoma wiih peritoneal gliomatosis and ele-vated serum alpha-fetoprotein. Am J Ciin Pathol 1980;73(4):603-7.
5- Ezzat A, Raja M, Bakri Y, Subhi J, Memon M, Schwartz P et al. Malignant ovarian germ celi tumours - a survi-val and prognostic analysis. Açta Oncol 1999;38(4):455-60.

6- Beilby JO, Parkinson C. Features of prognostic signifi-cance in soiid ovadan teratoma Cancer 1975;36(6):2147-54.
7- Chantelard J, Chiura E, Cleophax JP. Maturation of im¬mature teratomas of the ovary. Apropos of a case and review of the literatüre. J Gynecol Obstet Biol Reprod 1987;16(7):861-7.
8- Urrus DR, Okagaki T, Twİggs LB, Brooker DC. Immu-nocytochemical evidence of heterogeneous origin of alpha-fetoprotein İn immature teratoma of the ovary. Gynecol Oncol 1985; ;21(1):73-9.
9- ogales FF Jr, Favara BE, Majör FJ, Siiverberg SG. İm¬mature teratoma of the ovary with a neural component ("soiid" teratoma). A clinicopathologic study of 20 cases. Human patholcgy;625-42.

Thank you for copying data from http://www.arastirmax.com