Ghosh Ballari, McKeown Barbara, Gumma Aparna
Obstetrics and Gynaecology Department, Peterborough City Hospital, Peterborough, Cambridgeshire, UK.
BMJ Case Rep. 2011 Aug 31;2011:bcr0820114577. doi: 10.1136/bcr.08.2011.4577.
A 56-year-old postmenopausal patient presented with acute exacerbation of chronic pelvic pain to the gynaecological ward. Her pelvic pain was dull, grinding and constant with radiation to lower back. There were no bowel problems like per rectal bleeding, constipation or diarrhoea. She had two children. On examination, 12 to 14 week size mass was palpated in her abdomen which was slightly tender. Ultrasound scan and MRI of the pelvis showed a well-circumscribed mass about 10 cm size, heterogeneous in appearance posterior to a normal sized uterus. The provisional diagnosis was of either a subserosal fibroid or an ovarian fibroma. Her Ca-125 was within normal limits. She underwent laparotomy with subtotal abdominal hysterectomy and bilateral salpingo-oophorectomy. There was a 10 cm mass arising from the posterior aspect the uterus. The histopathology report showed mature lipoleiomyoma.
一名56岁的绝经后患者因慢性盆腔疼痛急性加重入住妇科病房。她的盆腔疼痛呈钝痛、持续性且有磨痛感，并放射至下背部。没有直肠出血、便秘或腹泻等肠道问题。她育有两个孩子。检查时，在其腹部触及一个12至14周大小的肿块，稍有压痛。盆腔超声扫描和磁共振成像显示，在正常大小子宫后方有一个边界清晰、大小约10厘米的肿块，外观不均匀。初步诊断为浆膜下肌瘤或卵巢纤维瘤。她的癌抗原125在正常范围内。她接受了剖腹手术，行次全子宫切除术和双侧输卵管卵巢切除术。子宫后方有一个10厘米的肿块。组织病理学报告显示为成熟的脂肪平滑肌瘤。
