Zygouris D, Androutsopoulos G, Grigoriadis C, Arnogiannaki N, Terzakis E
2nd Department of Gynaecology, St. Savvas Anticancer-Oncologic Hospital, Athens, Greece.
Eur J Gynaecol Oncol. 2012;33(3):331-3.
Primary ovarian leiomyosarcoma is an extremely rare subtype of ovarian sarcomas. It most commonly occurs in postmenopausal women and has unfavorable prognosis.
The patient, a 58-year-old postmenopausal woman, presented with a complaint of abdominal pain. Preoperative examination revealed an intraabdominal mass 25 x 17 x 14 cm in the right adnexa. She underwent bilateral salpingo-oophorectomy, total omentectomy, appendectomy and bilateral pelvic lymphadenectomy. The histopathology revealed leiomyosarcoma of the right ovary Stage Ia. She did not receive any postoperative adjuvant therapy. Follow-up 21 months after initial surgery, showed no evidence of recurrence.
Additional studies are needed to understand more about the nature, clinical behavior and treatment of this very rare tumor.
原发性卵巢平滑肌肉瘤是卵巢肉瘤中极其罕见的一种亚型。它最常发生于绝经后女性，预后不佳。
该患者为一名58岁绝经后女性，主诉腹痛。术前检查发现右附件区有一个25×17×14 cm的腹腔内肿块。她接受了双侧输卵管卵巢切除术、全大网膜切除术、阑尾切除术和双侧盆腔淋巴结清扫术。组织病理学检查显示为右卵巢Ia期平滑肌肉瘤。她未接受任何术后辅助治疗。初次手术后21个月的随访显示无复发迹象。
需要更多研究以进一步了解这种非常罕见肿瘤的性质、临床行为和治疗方法。
