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[子宫肌层罕见肿瘤——静脉内平滑肌瘤病和良性转移性平滑肌瘤]

[Rare tumours of myometrium--intravenous leiomyomatosis and benign metastatic leiomyoma].

作者信息

Tomsová M, Pohnĕtalová D, Spacek J

机构信息

Fingerlandův ustav patologie, Lékarská fakulta a Fakutní nemocnice, Hradec Králové.

出版信息

Ceska Gynekol. 2007 Apr;72(2):136-9.

Abstract

Leiomyomas are the most common benign uterine neoplasms of the myometrium. Rarely, can be observed unusual manifestations of these tumours. We present a case of intravenous leiomyomatosis in a 52-year-old woman and a case of benign metastasizing leiomyoma in a 45-year-old woman. Intravenous leiomyomatosis is an uncommon condition in which morphologically benign smooth muscle is present within the lumina of the veins. Benign metastasizing leiomyoma is a very rare phenomenon where histologically benign smooth muscle tumours are present at distant sites, particularly in the lungs, in women having histologically benign uterine leiomyoma. The diagnostic features, etiology, histology, therapeutic management and prognosis of these extremely rare conditions are discussed.

摘要

平滑肌瘤是子宫肌层最常见的良性肿瘤。这些肿瘤很少会出现不寻常的表现。我们报告一例52岁女性的静脉内平滑肌瘤病和一例45岁女性的良性转移性平滑肌瘤。静脉内平滑肌瘤病是一种罕见的疾病,其特征是在静脉腔内存在形态学上良性的平滑肌。良性转移性平滑肌瘤是一种非常罕见的现象,即组织学上良性的平滑肌瘤出现在远处部位,特别是在患有组织学上良性子宫平滑肌瘤的女性的肺部。本文讨论了这些极其罕见疾病的诊断特征、病因、组织学、治疗管理及预后。

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