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[子宫平滑肌肉瘤转移至肾上腺肿瘤的肾上腺切除术:一例报告]

[Adrenalectomy for metastatic adrenal tumor from uterine leiomyosarcoma: a case report].

作者信息

Seki Masaya, Imao Tetsuya, Amano Toshiyasu, Takemae Katsuro

机构信息

The Department of Urology, Nagano Red Cross Hospital.

出版信息

Hinyokika Kiyo. 2011 Aug;57(8):435-8.

Abstract

A 63-year-female was referred to our department for close examination and treatment of a left adrenal tumor found by positron emission tomography and computed tomography. She underwent abdominal total hysterectomy and bilateral salpingo-oophorectomy for uterine leiomyosarcoma 19 years ago. After the operation, she received 2 resections for peritoneal recurrence and 7 resections for pulmonary metastases. Magnetic resonance imaging showed a heterogeneous mass with a diameter of 7 cm at the left adrenal grand. We carried out open adrenalectomy and pathological findings were a metastatic adrenal tumor from uterine leiomyosarcoma. No signs of recurrence or metastasis have been observed for 6 months after the operation.

摘要

一名63岁女性因正电子发射断层扫描和计算机断层扫描发现左肾上腺肿瘤而被转诊至我科进行详细检查和治疗。19年前,她因子宫平滑肌肉瘤接受了腹部全子宫切除术和双侧输卵管卵巢切除术。术后,她因腹膜复发接受了2次手术切除,因肺转移接受了7次手术切除。磁共振成像显示左肾上腺有一个直径7厘米的不均匀肿块。我们进行了开放性肾上腺切除术,病理结果为子宫平滑肌肉瘤转移至肾上腺。术后6个月未观察到复发或转移迹象。

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