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一名绝经后女性患子宫横纹肌肉瘤并伴有多处转移。

Rhabdomyosarcoma of the uterus with multiple metastases in a post-menopausal woman.

作者信息

Alkhaledi Ahmad, Hanafi Ibrahem, Alsabe Hassan, Chatty Eyad M

机构信息

Faculty of Medicine, Damascus University, Damascus, Syria.

Division of Neurology, Department of Internal Medicine, Faculty of Medicine, Damascus University, Damascus, Syria.

出版信息

Oxf Med Case Reports. 2019 Mar 29;2019(3):omz017. doi: 10.1093/omcr/omz017. eCollection 2019 Mar.

DOI:10.1093/omcr/omz017
PMID:30949355
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6440278/
Abstract

Rhabdomyosarcoma (RMS) is a malignant soft tissue tumor, usually presenting in the head and neck in children, with frequent metastases to the lungs. In this report, we present a rare case of a post-menopausal RMS patient who presented with walking difficulties after hysterectomy. A computerized tomography scan revealed metastases spreading to the mediastinum, retroperitoneum, lungs, liver and bones. On a protocol of Gemcitabine and Carboplatin, the patient showed stability in the dimensions of the masses with significant improvement in her quality of life.

摘要

横纹肌肉瘤(RMS)是一种恶性软组织肿瘤,通常发生于儿童的头颈部,常转移至肺部。在本报告中,我们呈现了一例罕见的绝经后RMS患者,该患者在子宫切除术后出现行走困难。计算机断层扫描显示转移灶扩散至纵隔、腹膜后、肺、肝和骨骼。在接受吉西他滨和卡铂治疗方案后,患者肿块大小保持稳定,生活质量有显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da85/6440278/aa454e09b49a/omz017f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da85/6440278/e16220e4c64c/omz017f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da85/6440278/0e019aad5dff/omz017f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da85/6440278/c7aea0d69343/omz017f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da85/6440278/aa454e09b49a/omz017f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da85/6440278/e16220e4c64c/omz017f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da85/6440278/0e019aad5dff/omz017f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da85/6440278/c7aea0d69343/omz017f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da85/6440278/aa454e09b49a/omz017f04.jpg

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本文引用的文献

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Uterine rhabdomyosarcoma in adults.成人子宫横纹肌肉瘤。
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Adult rhabdomyosarcoma: Clinical presentation, treatment, and outcome.成人横纹肌肉瘤:临床表现、治疗及预后
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