Tsuji Maako, Kihara Tomoko, Hushimi Shuko, Nishino Yukari, Kanayama Tomoko, Nishijima Mitsuhiro
Department of Obstetrics and Gynecology, Hyogo Prefectural Awaji Medical Center, Japan.
Case Rep Obstet Gynecol. 2020 Nov 3;2020:8823428. doi: 10.1155/2020/8823428. eCollection 2020.
Uterine sarcoma is significantly rarer than leiomyoma and has poor prognosis. Moreover, the diagnosis of leiomyosarcoma is difficult because its symptoms, including pelvic pain, uterine mass, and/or uterine bleeding, are very similar to those of leiomyoma. There are a few cases of leiomyosarcoma wherein leiomyoma was treated with uterine artery embolization (UAE); these reports revealed that the symptoms of hypermenorrhea or/and pelvic pain persisted even after UAE. Symptoms persisting even after UAE treatment for leiomyomas, especially multiple leiomyomas, should be investigated to rule out leiomyosarcoma. Therefore, long-term follow-up is needed. Here, we describe a case of a 39-year-old woman diagnosed with leiomyosarcoma 3 years after undergoing UAE for multiple leiomyomas.
子宫肉瘤比平滑肌瘤明显少见，且预后较差。此外，平滑肌肉瘤的诊断困难，因为其症状，包括盆腔疼痛、子宫肿块和/或子宫出血，与平滑肌瘤非常相似。有少数平滑肌肉瘤病例曾接受子宫动脉栓塞术（UAE）治疗平滑肌瘤；这些报告显示，即使在UAE治疗后，月经过多或/和盆腔疼痛的症状仍持续存在。对于即使在UAE治疗平滑肌瘤（尤其是多发性平滑肌瘤）后仍持续存在的症状，应进行调查以排除平滑肌肉瘤。因此，需要长期随访。在此，我们描述一例39岁女性的病例，该女性在因多发性平滑肌瘤接受UAE治疗3年后被诊断为平滑肌肉瘤。
