Jeong Gui-Ae
Department of Surgery, Soonchunhyang University College of Medicine, Bucheon, Korea.
J Menopausal Med. 2014 Dec;20(3):133-7. doi: 10.6118/jmm.2014.20.3.133. Epub 2014 Dec 24.
Leiomyomas are very common benign tumors in the uterus and it is rare condition to present the retroperitoneal leiomyoma. The author reported a 48-year-old female patient who presented right pelvic mass with urinary incontinence and lower abdominal discomfort. Based on the preoperative imaging, provisional diagnosis was mesenchymal sarcoma. In the intraoperative findings, huge mass abutting to the uterus was observed in retroperitoneal space beneath the right broad ligament. After the exposure the retroperitoneal space, we encountered the well-demarcated tumor measuring 8 × 6 cm in diameter and this tumor attached the right surface of the uterus with fibrotic tissue. Pathologic findings demonstrated retroperitoneal uterine leiomyoma.
平滑肌瘤是子宫中非常常见的良性肿瘤，而腹膜后平滑肌瘤则较为罕见。作者报告了一名48岁女性患者，该患者出现右盆腔肿块，并伴有尿失禁和下腹部不适。根据术前影像学检查，初步诊断为间叶性肉瘤。术中发现，在右阔韧带下方的腹膜后间隙中观察到一个与子宫相邻的巨大肿块。暴露腹膜后间隙后，我们遇到了一个边界清晰、直径为8×6厘米的肿瘤，该肿瘤通过纤维化组织附着于子宫右侧表面。病理检查结果显示为腹膜后子宫平滑肌瘤。
