病例报告：一例类似卵巢性索肿瘤的子宫肿瘤复发
Case report: Recurrence of a uterine tumor resembling ovarian sex-cord tumor.
作者信息
O'Meara Alix C, Giger Olivier T, Kurrer Michael, Schaer Gabriel
机构信息
Centre of Oncology/Hematology, Stadtspital Triemli, Birmensdorferstrasse 497, 8063 Zuerich, Switzerland.
出版信息
Gynecol Oncol. 2009 Jul;114(1):140-2. doi: 10.1016/j.ygyno.2009.03.021. Epub 2009 Apr 29.
BACKGROUND
Uterine tumors resembling ovarian sex-cord tumors are very rare uterine neoplasias that generally behave in a benign manner. We report the case of a uterine tumor resembling an ovarian sex-cord tumor that recurred after hysterectomy.
CASE
A 35-year-old nulliparous woman presented with abdominal discomfort, galactorrhea and abnormal vaginal bleeding. Ultrasound examination showed a heterogeneous uterine tumor composed of cystic and solid parts. Because of the patient's desire to preserve fertility, tumor resection was scheduled. Frozen sections suggested malignancy and led to abdominal hysterectomy. The final histological diagnosis was uterine tumor resembling ovarian sex-cord tumor. Three years into follow-up, metastasis occurred.
CONCLUSION
Although uterine tumors resembling ovarian sex-cord tumors generally behave in a benign manner, they may in rare cases metastasize.
背景
子宫肿瘤样卵巢性索肿瘤是非常罕见的子宫肿瘤，通常表现为良性。我们报告一例子宫肿瘤样卵巢性索肿瘤在子宫切除术后复发的病例。
病例
一名35岁未生育女性出现腹部不适、溢乳和异常阴道出血。超声检查显示子宫肿瘤由囊性和实性部分组成，不均匀。由于患者希望保留生育能力，计划进行肿瘤切除术。冰冻切片提示恶性，遂行腹式子宫切除术。最终组织学诊断为子宫肿瘤样卵巢性索肿瘤。随访三年后发生转移。
结论
尽管子宫肿瘤样卵巢性索肿瘤通常表现为良性，但在罕见情况下可能会发生转移。
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