停經後女性大型卵巢腫瘤合併扭轉：案例報告及文獻回顧

Huge ovarian torsions in postmenopausal women: case series and literature review

卵巢扭轉被普遍認為發生在育齡女性，停經後女性發生卵巢扭轉是不常見的（發生率約2.7-6%），而合併腫瘤大於10 公分以上又是更少見。相較於育齡女性，癌症在停經後女性卵巢扭轉有較高的發生率(9-22%)，雖然沒有保留生育能力的考量，但若因診斷及治療的延遲導致卵巢扭轉壞死及腹膜炎是致命的，故儘早確立診斷、術前的全面評估及完整的手術是缺一不可的。本文報告罕見兩例停經後女性大型卵巢扭轉，並回顧現有相關文獻。

Ovarian torsion was commonly happened in women during reproductive years, while it is not common in women of postmenopausal age (with a low incidence of 2.7-6%). Besides, ovarian torsion with a more than 10 cm tumor is rare. Compared with women of childbearing age, the cancer incidence is higher in women of post-menopausal age (with incidence 9-22%). Moreover, though fertility preservation is not a concern, it is lethal ovarian torsion-related necrosis and peritonitis if delayed diagnosis and treatment. Thus, it is indispensable that early diagnosis, a thorough pre-operation survey, and complete surgery. We presented two rare huge ovarian torsions in postmenopausal women and reviewed current literature.