Lupovitch Aaron, England Edwin R, Chen Ruey
Department of Pathology, Henry Ford Wyandotte Hospital, 2333 Biddle Avenue, Wyandotte, MI 48322, USA.
Gynecol Oncol. 2005 Jun;97(3):938-41. doi: 10.1016/j.ygyno.2005.02.024.
Inversion of the uterus associated with a uterine sarcoma is extremely rare with only 17 cases reported since 1887, so that its clinical presentation and appearance at laparotomy may be confusing.
A 26-year-old woman presented with a vaginal mass and bleeding. At laparotomy, her uterus appeared depressed or concave. The final diagnosis of uterine sarcoma and inversion was unique in her age group.
Uterine sarcoma with inversion can occur in the premenopausal age group. It presents as a vaginal mass with bleeding. As a clue to the diagnosis, the uterus per se may not be palpable or it may appear concave on physical exam or at laparotomy.
子宫肉瘤伴子宫内翻极为罕见，自1887年以来仅有17例报道，因此其临床表现及剖腹探查时的外观可能令人困惑。
一名26岁女性出现阴道肿物及出血症状。剖腹探查时，其子宫呈凹陷状或凹形。子宫肉瘤伴内翻的最终诊断在她这个年龄组中是独一无二的。
子宫肉瘤伴内翻可发生在绝经前年龄组。表现为伴有出血的阴道肿物。作为诊断线索，子宫本身可能无法触及，或在体格检查或剖腹探查时呈凹形。
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