卵巢和子宫平滑肌肉瘤：哪一个是原发的？

Ovarian and uterine leiomyosarcoma: which one is the primary?

作者信息

Shafiee Mohamad Nasir, Kah Teik Chew, Md Zain Reena Rahayu, Kampan Nirmala

机构信息

Faculty of Medicine, Department of Obstetrics and Gynaecology, UKM Medical Centre, Cheras, 56000 Kuala Lumpur, Malaysia.

Faculty of Medicine, Department of Obstetrics and Gynaecology, UKM Medical Centre, Cheras, 56000 Kuala Lumpur, Malaysia, Phone: +60391455949, Fax: +60391455672.

出版信息

Horm Mol Biol Clin Investig. 2019 Aug 9;41(2):hmbci-2019-0037. doi: 10.1515/hmbci-2019-0037.

DOI:10.1515/hmbci-2019-0037

PMID:31398145

Abstract

Uterine leiomyosarcoma (LMS) is rare but primary ovarian LMS is even rarer constituting less than 0.1% of all gynecologic disorders. Neither histologic features nor immunohistochemistry could be utilized to distinguish between uterine or ovarian origin. We illustrate a clinical case of metastatic LMS to the ovary in a woman with underlying uterine fibroid presenting with anemia with heavy menses.

摘要

子宫平滑肌肉瘤（LMS）较为罕见，但原发性卵巢LMS更为罕见，占所有妇科疾病的比例不到0.1%。组织学特征和免疫组织化学均无法用于区分子宫或卵巢来源。我们举例说明了一名患有子宫纤维瘤且伴有月经过多所致贫血的女性发生卵巢转移性LMS的临床病例。