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A normal adult ovary has been sectioned here to reveal a hemorrhagic corpus luteum. Note the dark red-black hemorrhagic region surrounded by a thin rim of yellow corpus luteum.

剖开的正常成年人卵巢示出血性黄体。可见暗红色的出血区被一薄层黄体包绕。

Here is the microscopic apperance of a hemorrhagic corpus luteum lined by luteinized granulosa cells next to the hemorrhagic area at the right.

镜下可见,右侧靠近出血区域处,出血的黄体被成线状排列的黄体颗粒细胞所包围。

Here is a benign cyst in an ovary. This is probably a follicular cyst. Occasionally such cysts may reach several centimeters in size and, if they rupture, can cause abdominal pain.

图示:卵巢的良性囊肿。这很可能是卵泡囊肿。少数情况下这种囊肿可发展到几个厘米大小,如破裂,可致腹痛。

This is a benign theca lutein cyst in an ovary. Note the luteinized cells forming the inner cyst lining at the left, with adjacent surrounding theca cells. These cysts are rarely more than a few centimeters in diameter.

良性的卵巢黄体膜囊肿。左侧可见黄体细胞形成了囊肿的内层,包围在旁边的是卵泡膜细胞。这些囊肿的直径一般不大于几厘米。

This ovary is dark and enlarged from hemorrhage following torsion. Torsion of the ovary is uncommon but may occur in adults in conjunction with benign ovarian cysts or neoplasms and in children or infants spontaneously. It leads to a presentation like that of acute appendicitis, but an adnexal mass may be palpable.
卵巢扭转造成出血而变黑变大。卵巢的扭转是不常见的,但当成年人患有良性卵巢囊肿或肿瘤时可能发生,在幼儿或婴儿中通常是自发形成。通常与急性阑尾炎表现相似,但有明显的附件团块。

Here are bilateral benign ovarian tumors. These proved to be fibrothecomas. The thecoma component of the neoplasm gives the tumor a yellowish cast because of the lipid content and can also produce estrogen. These are tumors that arise from the ovarian stroma. They are bilateral in only about 10% of cases. A right-sided hydrothorax in association with this tumor is known as Meig's syndrome.

图示:双侧卵巢良性瘤,经证实为卵巢纤维卵泡膜细胞瘤。泡膜细胞瘤的内容物使瘤呈黄*色,原因是其液体中含有并且能生成雌激素。这些肿瘤源自卵巢间质。只有10%的病例是双侧的。此肿瘤伴发右侧胸水被称为Meig氏综合症。

Here is an ovarian stromal tumor that is hard and white and is a fibroma.
图示:卵巢间质瘤,又硬又白,属纤维瘤。
This is a tumor of ovarian surface epithelium. These are the most common ovarian neoplasms. Such neoplasms may be lined by epithelium that is serous or mucinous. Pictured here is a serous cystadenoma. It was filled with pale yellow serous fluid in only a single cavity. Mucinous tumors are filled with sticky mucin and tend to be multiloculated. Benign epithelial ovarian tumors are bilateral in about 20% of cases.
卵巢上皮性肿瘤,是最常见的卵巢肿瘤。这样的浆液性或粘液性的肿瘤可能被上皮细胞包绕。图示浆液性囊腺瘤。在单个囊腔中充满了淡黄*色浆液。粘液性肿瘤充满富于糖蛋白的粘液,且多由多个大小不一的囊腔组成。20%的卵巢上皮瘤同时累及双侧卵巢。

Benign epithelial tumors of the ovary can reach massive proportions. The serous cystadenoma seen here fills a surgical pan and dwarfs the 4 cm ruler.


良性卵巢上皮瘤可以明显增大。图示的浆液囊腺瘤充满了外科手术盘,图上可以看到4cm的直尺显得太小了。

Here is a benign serous cystadenoma that demonstrates multiloculation. Note that the inner surface is, for the most part, smooth, with only a solitary papillation at the upper right.

图示良性卵巢浆液囊腺瘤,呈多腔性。注意大部分内表面光滑,但右上部有一孤立的乳头状突起。


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