一例罕见的巨大囊性平滑肌瘤表现为腹膜后肿块。
A rare case of a giant cystic leiomyoma presenting as a retroperitoneal mass.
作者信息
Naykı Ümit, Naykı Cenk, Uluğ Paşa, Yılmaz Ismayil, Cetin Zeliha, Yıldırım Yusuf
机构信息
Department of Obstetrics and Gynecology, Erzincan University, School of Medicine, Erzincan, Turkey.
Department of General Surgery, Erzincan University, School of Medicine, Erzincan, Turkey.
出版信息
Iran J Reprod Med. 2014 Dec;12(12):831-4.
BACKGROUND
Giant retroperitoneal uterine leiomyomas are uncommon. Degenerative changes of a leiomyoma may lead to unusual presentation resulting in misdiagnosis preoperatively. The final diagnosis can be made either intraoperatively or histologically.
CASE
We report a 45-year-old multiparous women presented with abdominal distension and fatigue for six months. Abdominopelvic Sonography and computed tomography showed a large cystic mass that filled the pelvis and abdomen. With the preoperative diagnosis of a malignant tumor, a laparotomy was planned. Intraoperatively, a cystic mass originated from the uterus near the left side of the broad ligament extending to the retroperitoneal space was observed. Total hysterectomy and bilateral salphingo-oopherectomy was administered. The histology revealed a leiomyoma with cystic degeneration.
CONCLUSION
Retroperitoneal leiomyomas should be kept in mind in the diferrential diagnosis of a giant cystic mass in abdomen.
背景
巨大腹膜后子宫平滑肌瘤并不常见。平滑肌瘤的退行性变可能导致不寻常的表现，从而在术前造成误诊。最终诊断可在术中或通过组织学检查做出。
病例
我们报告一名45岁经产妇，出现腹胀和疲劳6个月。腹盆腔超声和计算机断层扫描显示一个巨大的囊性肿块，占据盆腔和腹部。术前诊断为恶性肿瘤，计划行剖腹手术。术中观察到一个囊性肿块起源于子宫左侧阔韧带附近，延伸至腹膜后间隙。行全子宫切除术和双侧输卵管卵巢切除术。组织学检查显示为伴有囊性变的平滑肌瘤。
结论
在鉴别诊断腹部巨大囊性肿块时应考虑腹膜后平滑肌瘤。
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