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腹腔镜下切除女性腹股沟管罕见变异型平滑肌瘤:两例报告

Laparoscopic removal of rare variant of leiomyoma in the female inguinal canal: a report of two cases.

作者信息

Byun Geon Young, Koo Bum Hwan, Lee Seung Geun, Kim Myoung Jin, Lee Sung Ryul

机构信息

Department of Surgery, Damsoyu Hospital, Seoul, Korea.

出版信息

J Surg Case Rep. 2019 Aug 22;2019(8):rjz242. doi: 10.1093/jscr/rjz242. eCollection 2019 Aug.

Abstract

Angioleiomyoma and lipoleiomyoma are rarely found tumors in the inguinal canal. We present two cases of laparoscopic removal of angioleiomyoma and lipoleiomyoma in the female inguinal canal. In Case 1, a 35-year-old woman was admitted to our hospital with left inguinal swelling and intermittent pain. A hypoechoic well-marginated mass was observed on ultrasonography. Laparoscopic complete tumor excision and posterior wall repair were performed, and a diagnosis of angioleiomyoma was confirmed on histopathological evaluation. In Case 2, a 55-year-old woman was admitted with a painful right inguinal swelling. A hypoechoic well-marginated ovoid mass was observed on ultrasonography. Laparoscopic complete tumor excision and posterior wall repair were performed, and a diagnosis of lipoleiomyoma was confirmed on histopathological evaluation. Laparoscopic tumor excision and posterior wall repair are effective treatments of leiomyomas in the inguinal canal.

摘要

血管平滑肌瘤和脂肪平滑肌瘤是在腹股沟管中罕见的肿瘤。我们报告两例腹腔镜下切除女性腹股沟管血管平滑肌瘤和脂肪平滑肌瘤的病例。病例1,一名35岁女性因左侧腹股沟肿胀和间歇性疼痛入院。超声检查发现一个边界清晰的低回声肿块。进行了腹腔镜下肿瘤完整切除及后壁修补术,组织病理学评估确诊为血管平滑肌瘤。病例2,一名55岁女性因右侧腹股沟疼痛性肿胀入院。超声检查发现一个边界清晰的椭圆形低回声肿块。进行了腹腔镜下肿瘤完整切除及后壁修补术,组织病理学评估确诊为脂肪平滑肌瘤。腹腔镜下肿瘤切除及后壁修补术是治疗腹股沟管平滑肌瘤的有效方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0879/6705447/a364c6463dad/rjz242f1.jpg

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