一例伴有曲线状钙化的子宫内膜间质肉瘤。
A case of endometrial stromal sarcoma with curvilinear calcification.
作者信息
Pekindil Gokhan, Tuncyurek Ozum, Orguc Sebnem, Inceboz Umit, Kandiloglu Ali Riza, Caglar Husnu
机构信息
Department of Radiology, Celal Bayar University Hospital, 45020 Manisa, Turkey.
出版信息
Gynecol Oncol. 2005 Aug;98(2):318-21. doi: 10.1016/j.ygyno.2005.04.021.
BACKGROUND
Although many histopathological, clinical, and imaging findings of ESS have been described, intense calcifications have not been reported previously.
CASE
A 54-year-old female was admitted with vaginal bleeding and abdominal pain. Gynecologic examination revealed a huge, firm pelvic mass extending up to the epigastrium. Transabdominal ultrasonography and computed tomography demonstrated a well-demarcated uterine mass containing heterogeneous solid and cystic areas and a centric curvilinear calcification. Histopathological diagnosis was established as undifferentiated high-grade endometrial stromal sarcoma.
CONCLUSION
Endometrial stromal sarcomas should be considered in the differential diagnosis of uterine masses containing curvilinear calcifications.
背景
尽管子宫内膜间质肉瘤（ESS）的许多组织病理学、临床和影像学表现已被描述，但此前尚未报道过严重钙化的情况。
病例
一名54岁女性因阴道出血和腹痛入院。妇科检查发现一个巨大、坚硬的盆腔肿块，向上延伸至中上腹。经腹超声和计算机断层扫描显示一个边界清晰的子宫肿块，包含不均匀的实性和囊性区域以及中心曲线状钙化。组织病理学诊断为未分化高级别子宫内膜间质肉瘤。
结论
在鉴别诊断含有曲线状钙化的子宫肿块时，应考虑子宫内膜间质肉瘤。
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