Van Winter J T, Stanhope C R
Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota.
Obstet Gynecol. 1992 Sep;80(3 Pt 2):560-3.
Primary ovarian leiomyoma is rare. Most cases are asymptomatic; this benign neoplasm is usually found incidentally on routine pelvic examination, at surgery, or at autopsy.
We present what we believe to be the first case of ovarian leiomyoma associated with ascites and polymyositis, both of which resolved after oophorectomy. This case emphasizes the important fact that preoperative evaluation may be inaccurate.
Excision of a pelvic mass with histologic evaluation remains the only reliable way to establish a diagnosis.
原发性卵巢平滑肌瘤罕见。大多数病例无症状；这种良性肿瘤通常在常规盆腔检查、手术或尸检时偶然发现。
我们报告了我们认为是首例与腹水和多发性肌炎相关的卵巢平滑肌瘤病例，两者在卵巢切除术后均得到缓解。该病例强调了术前评估可能不准确这一重要事实。
切除盆腔肿块并进行组织学评估仍然是确诊的唯一可靠方法。
