Ford J M, Pang J, Coutts J, Evans B D
Palmerston North Hospital, New Zealand.
Aust N Z J Obstet Gynaecol. 1988 May;28(2):154-5. doi: 10.1111/j.1479-828x.1988.tb01650.x.
This report describes a patient who underwent a subtotal hysterectomy 6 years ago for fibroids. She re-presented recently with lung metastases and a pelvic mass. Macroscopic appearances at laparotomy suggested a leiomyosarcoma of the uterine stump, but histological appearances suggested the patient was suffering from the rare condition 'metastasizing leiomyoma'. Subsequent response to hormone manipulation supported the latter diagnosis.
本报告描述了一名6年前因子宫肌瘤接受子宫次全切除术的患者。她最近因肺转移和盆腔肿块再次就诊。剖腹手术时的宏观表现提示子宫残端平滑肌肉瘤,但组织学表现提示患者患有一种罕见疾病“转移性平滑肌瘤”。随后对激素治疗的反应支持了后一种诊断。