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Arkadi Karpov assistentlege Akershus Universitetssykehus

Arkadi Karpov assistentlege Akershus Universitetssykehus. Julenøtt nr. 8.

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Arkadi Karpov assistentlege Akershus Universitetssykehus

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  1. Arkadi KarpovassistentlegeAkershus Universitetssykehus Julenøtt nr. 8

  2. Sykehistorie: 38 år gammelkvinne med lette smerter nedersti magen fikk ved UL påvist en cystisk lesjon i høyre adnex. Fjernet rutinemessig. Cysten var 11 cm i diameter og inneholdt 450 ml klar væske.

  3. Makroskopisk: Det sees et cystisk ovarium der cystens innside er glatt og speilende. I veggen finnes en knute med fast elastisk konsistens, diameter 1.5 cm

  4. Differensialdiagnoser: • Struma ovarii • Malignt struma ovarii (Follikulært thyreoidea karsinom) • Serøst cystadenokarsinom • Sertoli-Leydig celletumor

  5. TGB TTF-1 1 2

  6. Kriterier for follikulært thyreoidea karsinom • Kapselinfiltrasjon • Karinnvekst/tumortrombe

  7. Diagnose Monodermalt teratom Struma ovarii med usikkert malignitetspotensiale

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