双侧巨大Wolffian附件肿瘤1例报告。

IF 1.5 Q4 ONCOLOGY Cancer reports Pub Date : 2024-12-18 DOI:10.1002/cnr2.70084

Ling Huang, Yan Zhou, Xiaoshan Hong, Xiping Luo, Min Shen, Shanshan Yan, Xiaoli Sun

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摘要

背景：Wolffian附件肿瘤是一种罕见的肿瘤类型，于1973年由Karim-inejad首次发现并报道。Wolffian附件肿瘤缺乏特定的临床表现，其组织学形态与其他各种肿瘤相似，极易误诊。为了提高我们对该病的认识，我们在此报告一例在我院诊治的Wolffian附件肿瘤。病例：这是第一例以胸膜积液和心包积液为首发症状的巨大双侧Wolffian肿瘤。MRI示下腹部及骨盆一巨大分叶状肿块（25.3 × 17.8 × 21.9 cm），累及双侧卵巢。术前诊断为“卵巢恶性肿瘤”。行子宫切除术、双附件切除术、网膜切除术。术后病理显示双侧Wolffian肿瘤。术后化疗采用紫杉醇顺铂（TP）方案，疗程6个周期。术后2个月随访发现心包积液和胸腔积液消失，3年随访期间无复发。结论：Wolffian附件肿瘤缺乏特异性临床表现，经治疗后预后良好。

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A Case Report of Giant Bilateral Wolffian Adnexal Tumor

Background

Wolffian adnexal tumor is a rare type of tumor that was first discovered and reported by Karim-inejad in 1973. Wolffian adnexal tumor lacks specific clinical manifestations and its histological morphology is similar to various other tumors, making it highly prone to misdiagnosis. To enhance our understanding of this disease, we hereby report a case of Wolffian adnexal tumor diagnosed and treated in our hospital.

Case

It is the first report of a giant bilateral Wolffian tumor, with pleural effusion and pericardial effusion as the initial symptoms. Magnetic resonance imaging (MRI) suggested a huge lobulated mass (25.3 × 17.8 × 21.9 cm) in the mid-lower abdomen and pelvis, involving both ovaries. A diagnosis of “ovarian malignancy” was made before the surgery. Hysterectomy, bilateral adnexectomy, and omentectomy were performed. Postoperative pathology revealed a bilateral Wolffian tumor. Postoperative chemotherapy with a taxol and cisplatin (TP) regimen was administered for six cycles. Follow-up at 2 months postoperatively showed resolution of pericardial and pleural effusions, and there has been no recurrence during the 3-year follow-up period.