Michy T, Choufi B, Le Bouëdec G, Dauplat J
Service de chirurgie oncologique, centre Jean-Perrin, rue Montalembert, place Henri-Dunant, 63000 Clermont-Ferrand, France.
Gynecol Obstet Fertil. 2006 Jul-Aug;34(7-8):622-4. doi: 10.1016/j.gyobfe.2006.06.007. Epub 2006 Jul 18.
Leiomyoma of the uterus is a frequent benign tumor of non menopausal women. Among possible complications, polycythemia is rare and often unrecognised. We report a very demonstrative case, that of a 52-year-old woman, who presented initially an episode of metrorrhagia. The difficulty of diagnosis and the treatment are detailed. The different physiopathological hypotheses are discussed in order to ameliorate our knowledge about this association between fibromyoma and polycythemia, and to optimise therapeutic management.
子宫平滑肌瘤是非绝经女性常见的良性肿瘤。在可能的并发症中，红细胞增多症较为罕见且常未被识别。我们报告一例极具代表性的病例，患者为一名52岁女性，最初表现为一次子宫出血。详细阐述了诊断和治疗的难点。讨论了不同的生理病理假说，以增进我们对子宫肌瘤与红细胞增多症之间这种关联的认识，并优化治疗管理。
