Klausch B, Wittstock G, Breuel I, Schumacher A
Gynäkologisch-geburtshilflichen Abteilung, Kreiskrankenhauses/Kreispoliklinik Parchim.
Zentralbl Gynakol. 1989;111(24):1624-8.
Leiomyomatosis peritonealis disseminata (LPD) is a rare benign and mostly asymptomatic disease only occurring in women of reproductive age. Because of the disseminated appearance of multiple subperitoneal nodules malignancy is frequently simulated. A report is given on a case of LPD in a 38 year old woman. Today the cause of LPD is seen in a specific hormonal stimulation of the pluripotent subperitoneal mesenchyma of the müllerian duct in the minor pelvis. An individual disposition is discussed. Radical operation procedures are not indicated because of the good prognosis of this disease. A further application of oral contraceptives or further pregnancies cannot be recommended for such cases of reproductive age.
播散性腹膜平滑肌瘤病（LPD）是一种罕见的良性疾病，大多无症状，仅发生于育龄女性。由于多个腹膜下结节呈播散性表现，常被误诊为恶性肿瘤。本文报道一例38岁女性的LPD病例。目前认为，LPD的病因是盆腔内苗勒管的多能腹膜间皮受到特定激素刺激。文中还讨论了个体易感性。鉴于该病预后良好，不建议采取根治性手术。对于此类育龄期患者，不建议继续使用口服避孕药或再次怀孕。
