Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine, Seoul, South Korea.
Fertil Steril. 2011 Mar 1;95(3):1120.e11-4. doi: 10.1016/j.fertnstert.2010.09.007. Epub 2010 Oct 14.
To analyze cases of ovarian leiomyomas and to discuss the proper surgical management.
A case series and discussion.
General university hospital and healthcare center.
PATIENT(S): Nine patients who were diagnosed with ovarian leiomyomas after surgery between 1993 and 2009.
INTERVENTION(S): None.
MAIN OUTCOME MEASURE(S): A preoperative diagnosis that was matched to the postoperative diagnosis and the type of surgery.
RESULT(S): In all cases, ovarian leiomyoma was misdiagnosed preoperatively as pedunculated uterine myoma, ovarian fibroma, or even ovarian endometrioma. Seven (77.8%) of the nine patients underwent a salpingo-oophorectomy or an oophorectomy with or without hysterectomy, and only two (22.2%) patients were submitted to an ovary-preserving surgery (i.e., a cystectomy or ovarian wedge resection).
CONCLUSION(S): Because of their extreme rarity, ovarian leiomyomas are seldom suspected intraoperatively or preoperatively. However, most of these tumors appear at reproductive age and have a benign nature, similar to uterine myomas. Therefore, surgeons should perform ovary-preserving management, especially in young patients.
分析卵巢平滑肌瘤病例，并探讨恰当的手术处理方法。
病例系列及讨论。
综合大学医院和医疗中心。
9 例患者于 1993 年至 2009 年手术后被诊断为卵巢平滑肌瘤。
无。
与术后诊断和手术类型相匹配的术前诊断。
所有病例术前均误诊为带蒂子宫肌瘤、卵巢纤维瘤，甚至卵巢子宫内膜异位囊肿。9 例患者中 7 例（77.8%）接受了输卵管卵巢切除术或卵巢切除术联合或不联合子宫切除术，仅 2 例（22.2%）患者接受了保留卵巢的手术（即囊肿切除术或卵巢楔形切除术）。
由于其极为罕见，卵巢平滑肌瘤术中或术前很少被怀疑。然而，这些肿瘤大多发生在生育年龄，具有良性性质，与子宫肌瘤相似。因此，外科医生应进行保留卵巢的管理，尤其是在年轻患者中。
