Wang Qiu-Man, Zhao Ye, Ma Ying, Yao Li-Ting, Han Xiao
First Clinical Medical College, Shanxi Medical University.
Department of Gynecology, First Hospital of Shanxi Medical University,Taiyuan, China.
Medicine (Baltimore). 2018 Oct;97(40):e12526. doi: 10.1097/MD.0000000000012526.
Ovarian leiomyoma is a rare ovarian tumor that occurs in 20-65 year-old women, and is mostly misdiagnosed as malignant tumor. In most reports on this type of tumor, ovarian myoma has a benign histology. Herein,we describe a case of ovarian atypical leiomyoma.
The patient is a 58-year-old woman. At the age of 40 years old, the patient underwent hysterectomy due to "hysteromyoma" and secondary anemia. The patient was admitted to our hospital due to palpation of lower abdominal mass and abdominal distention.
A mass was revealed at the left uterine appendage by pelvic ultrasound and CT.Pathology and immunohistochemistry confirmed the diagnosis of the left ovarian atypical leiomyoma.
Pelvic cavity resection and right adnexectomy were performed during laparotomy for the patient.
Without radiotherapy or chemotherapy, there were no signs of tumor recurrence in a 9-month follow-up period.
When a solid mass appears in ovarian tissues, ovarian leiomyoma should be considered. Patients with this type of tumor are mostly asymptomatic. Preoperative diagnosis was difficult, intraoperative frozen section would be helpful for determining the scope of the surgery, and the correct diagnosis was made by identifying the properties of smooth muscles through postoperative pathology and immunohistochemistry.
卵巢平滑肌瘤是一种罕见的卵巢肿瘤，发生于20至65岁的女性，大多被误诊为恶性肿瘤。在关于这类肿瘤的大多数报告中，卵巢平滑肌瘤具有良性组织学特征。在此，我们描述一例卵巢非典型平滑肌瘤病例。
患者为一名58岁女性。40岁时，患者因“子宫肌瘤”及继发性贫血接受了子宫切除术。患者因下腹部肿块触诊及腹胀入院。
盆腔超声和CT检查显示左侧子宫附件有一肿块。病理及免疫组化确诊为左侧卵巢非典型平滑肌瘤。
为患者行剖腹探查术，术中进行盆腔肿物切除及右侧附件切除术。
未进行放疗或化疗，在9个月的随访期内无肿瘤复发迹象。
当卵巢组织出现实性肿块时，应考虑卵巢平滑肌瘤。这类肿瘤患者大多无症状。术前诊断困难，术中冰冻切片有助于确定手术范围，术后通过病理及免疫组化鉴定平滑肌特性做出正确诊断。
