Lee J F, Yang Y C, Lee Y N, Wang K L, Lin Y N
Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, R.O.C.
Zhonghua Yi Xue Za Zhi (Taipei). 1991 Jul;48(1):59-65.
Leiomyosarcoma of the broad ligament (LBL) is a very rare tumor. Up to 1989, there had been only 7 cases reported in the English literature. During recent 12 years, we have had 15 cases of leiomyosarcoma in our department. Among them, there were two cases of LBL. The others were leiomyosarcoma of the uterine corpus. The first patient was 36 years old. She received total abdominal hysterectomy, bilateral salpingo-oophorectomy and paraaortic lymph node sampling followed by chemotherapy with adriamycin. Intra-abdominal recurrence with hepatic metastasis occurred 18 months after operation and she received palliative radiotherapy. The second patient was 65 years old and received subtotal hysterectomy, bilateral salpingo-oophorectomy, omental biopsy and suprapubic cystostomy followed also by chemotherapy with adriamycin. She received segmental resection of ileum and ileostomy due to intestinal obstruction caused by metastasis 5 months after her initial operation. Both patients were still alive when reported with 33 and 26 months of survival, respectively. The nature and management for LBL are scarcely reported, accumulation of cases and clinical experiences are needed.
阔韧带平滑肌肉瘤（LBL）是一种非常罕见的肿瘤。截至1989年，英文文献中仅报道过7例。在最近12年里，我们科室收治了15例平滑肌肉瘤患者。其中，有2例为阔韧带平滑肌肉瘤。其他的是子宫体平滑肌肉瘤。首例患者36岁。她接受了全腹子宫切除术、双侧输卵管卵巢切除术及腹主动脉旁淋巴结取样，随后接受阿霉素化疗。术后18个月出现腹腔内复发并伴有肝转移，她接受了姑息性放疗。第二例患者65岁，接受了子宫次全切除术、双侧输卵管卵巢切除术、大网膜活检及耻骨上膀胱造瘘术，随后也接受了阿霉素化疗。初次手术后5个月，由于转移导致肠梗阻，她接受了部分小肠切除术及回肠造口术。报告时两名患者均存活，分别存活了33个月和26个月。关于阔韧带平滑肌肉瘤的性质及治疗鲜有报道，需要积累病例及临床经验。
