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子宫平滑肌肉瘤导致的自发性子宫破裂

[Spontaneous uterine rupture due to uterine leiomyosarcoma].

作者信息

Boussouni Khouloud, Benoulaid Meryem, Dafiri Rachida

机构信息

Service de Radiologie de l'Hôpital d'Enfants, Maternité Souissi, Centre Hospitalier Ibn Sina, 40000 Rabat, Maroc.

出版信息

Pan Afr Med J. 2016 May 27;24:86. doi: 10.11604/pamj.2016.24.86.8849. eCollection 2016.

DOI:10.11604/pamj.2016.24.86.8849
PMID:27642425
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5012811/
Abstract

Uterine sarcomas are rare cancers characterized by clinical and histological polymorphism. They are malignant tumors of poor prognosis. Inaugural manifestation of acute abdomen with hemo-pneumoperitoneum and spontaneous uterine rupture remains exceptional. The authors report the case of a uterine leiomyosarcoma manifesting itself as an inaugural generalized acute peritonitis in a 43 year old woman. Uterine rupture due to malignant tumor was suspected during urgent preoperative imaging (ultrasound and CT scan) and confirmed histologically.

摘要

子宫肉瘤是一种罕见的癌症，具有临床和组织学多态性。它们是预后较差的恶性肿瘤。以急性腹痛伴血气腹和自发性子宫破裂为首发表现的情况仍然罕见。作者报告了一例子宫平滑肌肉瘤病例，该病例表现为一名43岁女性的首发全身性急性腹膜炎。在术前紧急影像学检查（超声和CT扫描）期间怀疑是恶性肿瘤导致的子宫破裂，并经组织学证实。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135f/5012811/5d7448516639/PAMJ-24-86-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135f/5012811/5d7448516639/PAMJ-24-86-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135f/5012811/5d7448516639/PAMJ-24-86-g001.jpg

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[Spontaneous uterine rupture due to uterine leiomyosarcoma].子宫平滑肌肉瘤导致的自发性子宫破裂
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引用本文的文献

1
Spontaneous rupture during observation for degenerated uterine leiomyoma revealing uterine leiomyosarcoma: a case report.观察期间退行性子宫平滑肌瘤自发破裂，结果发现子宫平滑肌肉瘤：一例报告
BJR Case Rep. 2025 Apr 27;11(2):uaaf023. doi: 10.1093/bjrcr/uaaf023. eCollection 2025 Mar.

本文引用的文献

1
Uterine sarcoma in a 14 year-old girl presenting with uterine rupture.一名14岁女孩出现子宫破裂的子宫肉瘤。
Gynecol Oncol Rep. 2014 Jun 17;10:44-6. doi: 10.1016/j.gynor.2014.05.004. eCollection 2014 Dec.
2
The utility of diffusion-weighted MR imaging for differentiating uterine sarcomas from benign leiomyomas.磁共振扩散加权成像在鉴别子宫肉瘤与良性平滑肌瘤中的应用。
Eur Radiol. 2008 Apr;18(4):723-30. doi: 10.1007/s00330-007-0787-7. Epub 2007 Oct 10.
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Atypical presentation of a leiomyoma as spontaneous massive haemoperitoneum.
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Systemic therapy for advanced uterine sarcoma: a systematic review of the literature.晚期子宫肉瘤的全身治疗：文献系统评价
Gynecol Oncol. 2005 May;97(2):624-37. doi: 10.1016/j.ygyno.2005.01.041.
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Uterine sarcomas versus leiomyomas: gray-scale and Doppler sonographic findings.子宫肉瘤与平滑肌瘤：灰阶及多普勒超声检查结果
J Clin Ultrasound. 2005 Jan;33(1):10-3. doi: 10.1002/jcu.20075.
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Uterine sarcoma: a clinicopathological study of 93 cases.子宫肉瘤：93例临床病理研究
Eur J Gynaecol Oncol. 1997;18(3):192-5.
7
Leiomyosarcoma presenting as spontaneous hemoperitoneum.
Int J Gynaecol Obstet. 1993 Mar;40(3):249-50. doi: 10.1016/0020-7292(93)90839-o.
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Uterine leiomyosarcoma presenting with haemoperitoneum.
Med J Aust. 1988 Jun 20;148(12):655, 657. doi: 10.5694/j.1326-5377.1988.tb116347.x.
9
Leiomyosarcoma in a series of hysterectomies performed for presumed uterine leiomyomas.在一系列因疑似子宫平滑肌瘤而进行的子宫切除术中发现的平滑肌肉瘤。
Am J Obstet Gynecol. 1990 Apr;162(4):968-74; discussion 974-6. doi: 10.1016/0002-9378(90)91298-q.
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