Mansour F, Darai E, Felgeres A, Meicler P, Pinet C, Colau J C
Service de Gynécologie-Obstétrique, Centre Médico-Chirurgical Foch, Suresnes.
Rev Fr Gynecol Obstet. 1992 Jul-Sep;87(7-9):431-3.
The authors report a case of disseminated peritoneal leiomyomatosis (DPL) occurring in a post-menopausal woman not using hormone replacement therapy. Her past history included a subtotal hysterectomy, with preservation of the adnexae, for metromenorrhagia due to a leiomyomatous uterus. This case confirms data in the literature concerning presentation, symptomatology, macroscopic appearance and histology. No electron microscopy study was undertaken, nor were hormonal receptors evaluated. The originality of this case lies in the onset of DPL in a post-menopausal (with laboratory confirmation) woman with very slow progression over several decades confirming the hormone-dependent nature and the good prognosis of this rare condition.
作者报告了一例发生在未使用激素替代疗法的绝经后妇女的播散性腹膜平滑肌瘤病(DPL)。她既往有因平滑肌瘤性子宫导致月经过多而行子宫次全切除术,保留了附件。该病例证实了文献中关于其表现、症状、大体外观和组织学的数据。未进行电子显微镜研究,也未评估激素受体。该病例的独特之处在于DPL发生在一名绝经后(经实验室证实)妇女,病程长达数十年且进展非常缓慢,证实了这种罕见疾病的激素依赖性本质和良好预后。