Prayson R A, Hart W R
Department of Pathology, Cleveland Clinic Foundation, OH 44195.
Arch Pathol Lab Med. 1992 Oct;116(10):1068-71.
A series of six primary ovarian smooth-muscle tumors were studied. Four were ordinary leiomyomas and two were neoplasms with prominent mitotic activity, which we designated mitotically active leiomyomas. The patients' ages ranged from 42 to 76 years (median, 50.5 years). In five of six patients, synchronous leiomyomas of the uterus were also present. In three patients, the ovarian tumor was an incidental finding. The maximum dimension of the ovarian tumors ranged from 0.3 to 20.0 cm (median, 3.0 cm). Three of the tumors originated in the hilar region, one on the cortical surface, and in two the exact location within the ovary could not be determined. Follow-up was available on all six patients. None developed local recurrence or metastasis from their ovarian tumor, including the two patients with mitotically active leiomyoma whose postoperative follow-up intervals were 3.8 and 7.7 years.
对一系列6例原发性卵巢平滑肌肿瘤进行了研究。其中4例为普通平滑肌瘤,2例为有显著核分裂活性的肿瘤,我们将其命名为核分裂活跃性平滑肌瘤。患者年龄在42岁至76岁之间(中位数为50.5岁)。6例患者中有5例同时存在子宫平滑肌瘤。3例患者的卵巢肿瘤为偶然发现。卵巢肿瘤的最大直径在0.3厘米至20.0厘米之间(中位数为3.0厘米)。3例肿瘤起源于门区,1例位于皮质表面,2例无法确定其在卵巢内的确切位置。对所有6例患者均进行了随访。无一例发生卵巢肿瘤的局部复发或转移,包括2例核分裂活跃性平滑肌瘤患者,其术后随访时间分别为3.8年和7.7年。