난관에서 발생한 성숙기형종
Mature Cystic Teratoma of the Fallopian Tube
소속 상세정보
권계원/Kye Weon Kwon
안희정/최윤정/김복수/배종엽/Hee Jung Ahn/Yoon Jung Chou/Bok Soo Kim/Jong Yup Bae
KMID : 0357919960300100951
Abstract
난관은 여성생식기중 악성 및 양성종양이 가장 드물게 발생하는 곳이며, 그중 선암종이
가장 흔한데 전체 여성생식기 종양의 1% 미만을 차지한다. 기형종은 주로 난소에 발생하는
종양으로서 난관에서 발생한 예는 매우 드문데 Eden과 Lockyer가 1865년에 처음으로 한 증
례를 보고한 이래 현재까지 약 50여 예가 보고되었다. 이에 저자들은 이 질환의 희귀성에
비추어 최근 난관에서 발생한 성숙기형종을 1예 경험하였기에 임상적, 병리학적 특성을 기
술하고 문헌고찰과 함께 보고하고자한다.
#초록#
Teratomas of the fallopian tube are extremely rare, and only about 50 cases haute
reported in the world literature. Most cases of mature cystic tubal teratoma are
asymptomatic and are discovered as an incidental finding on physical or radiologic
examination, or at the time of laparatomy. We report a case of mature cystic teratoma
of the right fallopian tube which was discovered during pelvic ultrasonogram for
antenatal fare in a 28 year old woman. Right salpingectomy was performed during
cesarean section for cephalo-pelvic distortion at IUP 39 weeks. Gross examination of the
right fallopian tube repeals a distended fallopian tube, measuring 8cm in length and 2
cm in diameter. On section, it is filled with several small pedunculated nodules and
cysts containing sebaceous materials. Microscopically the tumor was seen in continuity
with the lining epithelium of mucosal folds. The majority of the tumor was composed of
well differentiated mature elements of three germ layers with skin and skin appendages,
mature brain tissue, bone, breast tissue, intestinal mucosa and bronchial epithelium.
키워드
Mature cystic teratoma; Fallopian tube;
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