采用保留子宫手术治疗巨大分叶状平滑肌瘤。
Massive cotyledenoid leiomyoma treated with uterine-conserving surgery.
作者信息
Parker William H, Turner Roderick, Schwimer Stanford, Foshag Lee
机构信息
Department of Obstetrics, Gynecology and Reproductive Sciences, University of California San Diego, School of Medicine, San Diego, California.
Saint John's Health Center, Santa Monica, California (retired).
出版信息
F S Rep. 2020 Jul 29;1(3):314-316. doi: 10.1016/j.xfre.2020.07.007. eCollection 2020 Dec.
OBJECTIVE
To describe and illustrate a massive cotyledenoid leiomyoma treated with uterine-conserving surgery.
DESIGN
Case report.
SETTING
Medical center.
PATIENTS
A 39-year-old woman with a large abdominal mass and a magnetic resonance imaging scan showing a 28-cm multi-lobulated mass.
INTERVENTIONS
Laparotomy and myomectomy.
MAIN OUTCOME MEASURES
Recurrence and need for repeat surgery.
RESULTS
No recurrence at 8 years of follow-up.
CONCLUSIONS
Cotyledonoid leiomyomas are rare. These benign tumors may be suspected preoperatively based on MRI appearance. Frozen section suggests a benign process and uterine-conserving surgery may be successfully accomplished.
目的
描述并举例说明采用保留子宫手术治疗的巨大分叶状平滑肌瘤。
设计
病例报告。
地点
医疗中心。
患者
一名39岁女性，腹部有巨大肿块，磁共振成像扫描显示一个28厘米的多叶状肿块。
干预措施
剖腹术及肌瘤切除术。
主要观察指标
复发情况及再次手术需求。
结果
随访8年无复发。
结论
分叶状平滑肌瘤罕见。根据磁共振成像表现，术前可能怀疑这些良性肿瘤。冰冻切片提示为良性病变，保留子宫手术可能成功完成。
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