15歳の若年婦人に発症した巨大な卵巣チョコレート嚢胞

概要

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A rare case of giant ovarian chocolate cyst in an adolescent woman is presented. The patient was 15 years of age, and suffered from severe dysmenorrhea and lower abdominal pain. Image diagnoses, including ultrasonography, computed tomography and magnetic resonance imaging, revealed a large cystic tumor of the right ovary and a small polycystic tumor of the left ovary. Although a malignant ovarian tumor could not be excluded due to the high level of serum CA125(1,550.6U/ml), a post operative pathologic study disclosed bilateral ovarian endometriotic cysts. She is now well following a course of GnRH analogue therapy. Although ovarian endometriotic cysts are frequently encountered in females at the reproductive age, it should be remembered that the lesion also may be occasionally found in adolescent women.
社団法人日本産科婦人科学会の論文
2000-10-01