Pushpalatha K, Kumar S, Dinda A K, Sharma J B
Department of Obstetrics and Gynaecology, AIIMS, New Delhi, India.
BMJ Case Rep. 2011 Nov 15;2011:bcr0920114835. doi: 10.1136/bcr.09.2011.4835.
The diagnosis of uterine smooth muscle tumours is usually not difficult. Occasionally, benign tumours with an unusual histopathology may cause some dilemma for clinicians who had not experienced such report before. A 50-year-old female patient was admitted to our gynaecology clinics with lower abdominal heaviness and urinary symptoms and undergone total abdominal hysterectomy with bilateral salpingo-oophorectomy with a probable diagnosis of cervical fibroid. Histopathological examination showed lipoleiomyoma uterus with focal symplastic features. This case report describes the clinic-pathological dilemma in managing the patient with symplastic leiomyoma of the uterus.
子宫平滑肌肿瘤的诊断通常并不困难。偶尔，具有不寻常组织病理学特征的良性肿瘤可能会给以前未遇到过此类报告的临床医生带来一些困惑。一名50岁女性患者因下腹部坠胀和泌尿系统症状入住我们的妇科门诊，接受了全腹子宫切除术及双侧输卵管卵巢切除术，初步诊断为宫颈肌瘤。组织病理学检查显示为子宫脂肪平滑肌瘤，伴有局灶性异型增生特征。本病例报告描述了子宫异型增生平滑肌瘤患者管理中的临床病理困境。
