Decleer W, Debeuckelaere A, Comhaire F
Fertility Centre, AZ Jan Palfijn Ghent, Watersportlaan 5, 9000 Ghent, Belgium.
Fertility Clinic, Weststraat 16/18, 9880 Aalter, Belgium.
Facts Views Vis Obgyn. 2021 Jan 8;12(4):319-323.
A large tumour mass was detected in a 65-year-old patient during a routine gynaecological examination. This patient had been treated for over 10 years with levothyroxine for Hashimoto's thyroiditis and was also given transdermal oestrogen replacement therapy. Before the operation, detailed imaging by CT scan and MRI was performed. A tumour weighing 1.056 grams and measuring 23x12x7 cm was successfully removed through laparotomy. Histopathology revealed the diagnosis of an extra-uterine, so-called parasitic leiomyoma. Post-surgery recovery was uneventful, but Tibolone treatment was indicated due to disturbing menopausal complaints.
在一位65岁患者的常规妇科检查中发现了一个大的肿瘤块。该患者因桥本甲状腺炎接受左甲状腺素治疗超过10年，还接受了经皮雌激素替代疗法。手术前，通过CT扫描和MRI进行了详细的影像学检查。通过剖腹手术成功切除了一个重1.056克、尺寸为23×12×7厘米的肿瘤。组织病理学显示诊断为子宫外所谓的寄生性平滑肌瘤。术后恢复顺利，但由于令人困扰的更年期症状，给予替勃龙治疗。
