一名绝经前未生育女性的阔韧带平滑肌肉瘤：病例报告及文献复习

Broad ligament leiomyosarcoma in a premenopausal nulliparous woman: case report and review of the literature.

作者信息

Papachatzopoulos S, Theodoridis T D, Zafrakas M, Nikolakopoulos P, Molibas E

机构信息

Department for Obstetrics and Gynecology, Aristotle University of Thessaloniki, Greece.

出版信息

Eur J Gynaecol Oncol. 2009;30(4):452-4.

PMID:19761145

Abstract

Leiomyosarcomas of the broad ligament of the uterus are extremely rare tumors. Most of the time they are diagnosed in older women and despite radical surgical treatment prognosis is dismal. We present a rare case of a 38-year-old nulligravida presenting with a large, firm mass, fixed in the pelvis. After enucleation of the tumor, histological examination revealed the presence of a broad ligament leiomyosarcoma, leading to total abdominal hysterectomy and bilateral salpingo-ophorectomy three weeks later. Management options and cases reported in the literature are reviewed.

摘要

子宫阔韧带平滑肌肉瘤是极其罕见的肿瘤。大多数情况下，它们在老年女性中被诊断出来，尽管进行了根治性手术治疗，预后仍然很差。我们报告了一例罕见病例，一名38岁未孕女性，盆腔内有一个巨大、质硬、固定的肿块。肿瘤摘除术后，组织学检查显示为阔韧带平滑肌肉瘤，三周后进行了全腹子宫切除术和双侧输卵管卵巢切除术。本文回顾了文献中报道的治疗选择和病例。