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子宫切除术后出现的子宫外平滑肌瘤。

Extra-Uterine Leiomyoma Presenting After Hysterectomy.

作者信息

Patel Chantal, Todd Richard

机构信息

Surgery, University Hospitals of North Midlands, Newcastle-under-Lyme, GBR.

Gynecologic Oncology, University Hospitals of North Midlands, Newcastle-under-Lyme, GBR.

出版信息

Cureus. 2022 Mar 13;14(3):e23116. doi: 10.7759/cureus.23116. eCollection 2022 Mar.

DOI:10.7759/cureus.23116
PMID:35464590
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9001864/
Abstract

Leiomyomas are a common gynaecological finding affecting 20-30% of women over the age of 35, with prevalence decreasing following menopause. Around 25% of women present clinically with a leiomyoma, which are most commonly found within the uterus. Rarer extra-uterine locations include the broad ligament, cervix, and vagina. We present a rare case of an extra-uterine leiomyoma located in the perineum of a 59-year-old female. Our case highlights the importance for extra-uterine leiomyoma to be considered as a differential diagnosis in patients presenting with a pelvic mass following hysterectomy.

摘要

平滑肌瘤是一种常见的妇科病症,影响着20%至30%的35岁以上女性,绝经后患病率会降低。约25%的女性临床诊断患有平滑肌瘤,最常见于子宫内。较少见的子宫外发病部位包括阔韧带、宫颈和阴道。我们报告一例罕见的位于59岁女性会阴处的子宫外平滑肌瘤病例。我们的病例强调了对于子宫切除术后出现盆腔肿块的患者,子宫外平滑肌瘤应被视为鉴别诊断的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11ea/9001864/9bfcf9aba340/cureus-0014-00000023116-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11ea/9001864/b0ef00d0ae55/cureus-0014-00000023116-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11ea/9001864/9bfcf9aba340/cureus-0014-00000023116-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11ea/9001864/b0ef00d0ae55/cureus-0014-00000023116-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11ea/9001864/9bfcf9aba340/cureus-0014-00000023116-i02.jpg

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本文引用的文献

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Folia Med Cracov. 2019;59(4):33-44. doi: 10.24425/fmc.2019.131378.
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Recurrent benign leiomyomas after total abdominal hysterectomy. Rich or poor estrogenic environment may lead to their recurrence?全腹子宫切除术后复发性良性平滑肌瘤。雌激素环境丰富或匮乏会导致其复发吗?
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Pelvic Myxoid Leiomyoma Mass between Vagina and Rectum.阴道与直肠之间的盆腔黏液样平滑肌瘤肿块
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Ann Med Surg (Lond). 2015 Oct 19;4(4):431-3. doi: 10.1016/j.amsu.2015.09.002. eCollection 2015 Dec.
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Fibroid after hysterectomy: a diagnostic dilemma.子宫切除术后的肌瘤:诊断难题。
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Medical treatment of uterine leiomyoma.子宫肌瘤的医学治疗。
Reprod Sci. 2012 Apr;19(4):339-53. doi: 10.1177/1933719111432867. Epub 2012 Feb 28.
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Leiomyomas beyond the uterus: unusual locations, rare manifestations.子宫外平滑肌瘤:不寻常的位置,罕见的表现。
Radiographics. 2008 Nov-Dec;28(7):1931-48. doi: 10.1148/rg.287085095.