Alboni Carlo, Mattos Ludovica Camacho, Malmusi Stefania, Galassi Maria Cristina, Facchinetti Fabio, Mabrouk Mohamed
Minimally Invasive and Robotic Gynecologic Surgery Unit, Sassuolo, Italy.
Obstetrics and Gynecology Unit, Sassuolo Civil Hospital, Sassuolo, Italy.
Gynecol Minim Invasive Ther. 2022 Feb 14;11(1):47-50. doi: 10.4103/GMIT.GMIT_31_20. eCollection 2022 Jan-Mar.
Leiomyomas are the most common uterine benign tumor, and their malignant counterpart leiomyosarcomas are extremely rare. Despite this, a preoperative diagnosis could be useful for safe surgical minimally invasive management. At present, some clinical and ultrasound findings help recognizing lesions at risk of malignancy. We tried to implement a technique for the preoperative diagnosis for lesions at risk performing ultrasound-guided biopsies of suspected lesions in ten patients. Among them, one case was diagnosed as malignant by the needle biopsy. All patients underwent surgery for myomectomy or hysterectomy, and the histology was confirmed in all cases. No complications occurred. The review of the literature shows other similar experiences of preoperative biopsy of uterine lesions, showing good results for the differential diagnosis between uterine sarcoma and leiomyoma. In our experience, despite the small number of patients enrolled, this technique is safe and effective to plan minimally invasive surgery of uterine fibroids.
平滑肌瘤是最常见的子宫良性肿瘤，而其恶性对应物平滑肌肉瘤极为罕见。尽管如此，术前诊断对于安全的手术微创管理可能有用。目前，一些临床和超声检查结果有助于识别有恶性风险的病变。我们尝试实施一种针对有风险病变的术前诊断技术，对10例患者的可疑病变进行超声引导下活检。其中，1例经针吸活检诊断为恶性。所有患者均接受了肌瘤切除术或子宫切除术，所有病例的组织学诊断均得到证实。未发生并发症。文献回顾显示了子宫病变术前活检的其他类似经验，在子宫肉瘤和平滑肌瘤的鉴别诊断方面显示出良好结果。根据我们的经验，尽管纳入的患者数量较少，但该技术对于规划子宫肌瘤的微创手术是安全有效的。
