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Torsion of Collision Tumor: Dermoid Cyst and Fibrothecoma with Postmenopausal Bleeding

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초록

The term collision tumor refers to the coexistence of two adjacent but histological distinct tumors with no histological admixture at the interface. Collision tumors involving ovaries are extremely rare. A collision tumor composed of a dermoid cyst and fibrothecoma is extremely rare in menopausal women. The mechanism of the development of collision tumor is uncertain. During clinical evaluation, differentiation of characters of these ovarian tumors is important to decide appropriate treatment strategies and for good prognosis. We report an unusual clinical manifestation of the torsion of a dermoid cyst and fibrothecoma in the right ovary with postmenopausal bleeding. (J Menopausal Med 2016;22:114-117)

Abstract

The term collision tumor refers to the coexistence of two adjacent but histological distinct tumors with no histological admixture at the interface. Collision tumors involving ovaries are extremely rare. A collision tumor composed of a dermoid cyst and fibrothecoma is extremely rare in menopausal women. The mechanism of the development of collision tumor is uncertain. During clinical evaluation, differentiation of characters of these ovarian tumors is important to decide appropriate treatment strategies and for good prognosis. We report an unusual clinical manifestation of the torsion of a dermoid cyst and fibrothecoma in the right ovary with postmenopausal bleeding. (J Menopausal Med 2016;22:114-117)

참고문헌 (8)

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  2. Costa MJ, "Histologic and immunohistochemical evidence for considering ovarian myxoma as a variant of the thecoma-fibroma group of ovarian stromal tumors", Arch Pathol Lab Med, 117, pp.802~808 (1993)
  3. Kim SH, "Collision tumors of the ovary associated with teratoma: clues to the correct preoperative diagnosis", J Comput Assist Tomogr, 23, pp.929~933 (1999)
  4. Lee SH, "폐경 여성의 부인과 응급 환자에 대한 임상적 고찰", 대한폐경학회지, 18(2), pp.119~123 (2012), 대한폐경학회[DOI]
  5. Choi H, "Endometrial safety and vaginal bleeding patterns of an oral continuous combined regimens of estradiol and drospirenone for postmenopausal women: A multicenter, double blind, randomized, placebo controlled study", J Korean Soc Menopause, 12, pp.127~133 (2006)
  6. 박준식, "Endosalpingiosis in Postmenopausal Elderly Women", 대한폐경학회지, 20(1), pp.32~34 (2014), 대한폐경학회
  7. Lee CH, "Torsion of ovarian tumors: a clinicopathological study", Int J Gynaecol Obstet, 28, pp.21~25 (1989)
  8. Lee EJ, "Diagnosis of ovarian torsion with color Doppler sonography: depiction of twisted vascular pedicle", J Ultrasound Med, 17, pp.83~89 (1998)

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