난소의 성숙낭성기형종에서 발생한 편평세포암종 -3예 보고-
Squamous Cell Carcinoma Arising from Mature Cystic Teratoma of the Ovary -A report of three cases-
대한병리학회지 1999년 33권 12호 p.1211 ~ 1215
주미, 민한내, 강윤경, 이혜경, 조영채, 이응수,
소속 상세정보
주미 ( Joo Mee )
인제대학교 서울백병원 해부병리과
민한내 ( Min Han-Nae )
인제대학교 서울백병원 해부병리과
강윤경 ( Kang Yun-Kyung )
인제대학교 서울백병원 해부병리과
이혜경 ( Lee Hye-Kyung )
인제대학교 서울백병원 해부병리과
조영채 ( Cho Young-Chae )
인제대학교 서울백병원 산부인과학교실
이응수 ( Lee Eung-Soo )
인제대학교 서울백병원 산부인과학교실
KMID : 0357919990330121211
Abstract
Malignant transformation develops in a little less than 2% of mature cystic teratomas. A wide variety of malignant tumors may arise within benign mature cystic teratomas, and the most common of these is squamous cell carcinoma, which account for 75∼85%. In general, the tumors are in an advanced stage and the prognosis is poor as most patients die within a year. However, when the tumor is confined to the ovary, they have a good prognosis and the 5-year survival rate is 63∼83%. We experienced three cases of squamous cell carcinoma arising in mature cystic teratoma. Two of the carcinomas occurred in postmenopausal women: 58-(case 1) and 66-(case 2) year-old, and were confined to the ovaries. They were alive 37 months and 18 months after the operation, respectively. The third case was a 45-year-old premenopausal woman who had an extraovarian extension of the tumor and early recurrence within two months. Histologically, cases 1 and 3 were conventional well to moderately differentiated squamous cell carcinomas and case 2 showed a well-differentiated squamous cell carcinoma with exuberant proliferating trichilemmal tumor-like areas.
키워드
Squamous cell carcinoma;Mature cystic teratoma;Ovary
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