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一名青春期女孩的子宫血管平滑肌瘤:一种极不寻常的表现。

Angioleiomyoma uterus in an adolescent girl: a highly unusual presentation.

作者信息

Sharma Chanderdeep, Sharma Manupriya, Chander Bal, Soni Anjali, Soni P K

机构信息

DR RPGMC Kangra at Tanda (HP), India.

DR RPGMC Kangra at Tanda (HP), India.

出版信息

J Pediatr Adolesc Gynecol. 2014 Jun;27(3):e69-71. doi: 10.1016/j.jpag.2013.07.002. Epub 2013 Oct 9.

DOI:10.1016/j.jpag.2013.07.002
PMID:24119657
Abstract

BACKGROUND

Uterine angioleiomyoma is a very rare gynecologic tumor; only a few such cases have been reported to date and we have found no such tumor reported in an adolescent girl.

CASE

We report the case of a uterine angioleiomyoma in an adolescent girl. It presented as a huge abdomino-pelvic mass. The girl had severe menorrhagia and severe anemia. Intra-operatively no distinct planes were found between myoma and myometrium. Due to severe hemorrhage, she underwent sub-total abdominal hysterectomy.

SUMMARY AND CONCLUSION

Uterine angioleiomyoma is an extremely rare tumor since only 16 such cases have been reported to date. Its appearance in an adolescent girl seems to be the first case of its kind. So it is being reported not only to familiarize the managing physicians with the possibility of such a tumor and its variable presentation, but also to highlight the need for inclusion of this tumor in WHO classification of tumors of the female genital tract.

摘要

背景

子宫血管平滑肌瘤是一种非常罕见的妇科肿瘤;迄今为止仅有少数此类病例被报道,且我们未发现有青春期女孩患这种肿瘤的报道。

病例

我们报告一例青春期女孩子宫血管平滑肌瘤病例。该肿瘤表现为巨大的腹盆腔肿物。该女孩有严重月经过多和严重贫血。术中在肌瘤与子宫肌层之间未发现明显界限。由于严重出血,她接受了次全腹式子宫切除术。

总结与结论

子宫血管平滑肌瘤是一种极其罕见的肿瘤,因为迄今为止仅报道了16例此类病例。其在青春期女孩中的出现似乎是首例。因此报告此病例不仅是为了让主治医生熟悉这种肿瘤及其多样表现的可能性,也是为了强调将这种肿瘤纳入世界卫生组织女性生殖道肿瘤分类的必要性。

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