Martin J P, Paille P, Caverivière P, Galaup J L, Fournié A, Gouzi J L
Service de Gynécologie-Obstétrique, Hôpital La Grave, Toulouse.
J Gynecol Obstet Biol Reprod (Paris). 1990;19(3):315-20.
The authors report a case of uterine leiomyomas diagnosed during the first trimester of pregnancy. The most unusual presentation of this observation did not allow any diagnosis through clinical exam, either by sonographic and X ray technics (magnetic resonance imaging, computer tomography) or by the classical histological study. The intra abdominal tumors compatible with imagery are argued: ovarian cyst, gelatinous disease of the peritoneum, desmoid tumor, lymphoma, lymphangiomyoma. The right diagnosis has been established as a last resort to immunocytochemistry.
作者报告了一例在妊娠早期诊断出的子宫平滑肌瘤病例。该病例最不寻常的表现使得通过临床检查、超声和X线技术(磁共振成像、计算机断层扫描)或经典组织学研究均无法做出任何诊断。影像检查显示的腹腔内肿瘤包括:卵巢囊肿、腹膜胶样病变、硬纤维瘤、淋巴瘤、淋巴管肌瘤。最终通过免疫细胞化学才得以确诊。