一例源于深部盆腔子宫内膜异位症的子宫外子宫内膜间质肉瘤罕见病例：多学科团队会议的作用
A Rare Case of Extrauterine Endometrial Stromal Sarcoma Arising from Deep Pelvic Endometriosis: Role of Multidisciplinary Team Meeting.
作者信息
Long Xueying, Pei Yigang, Masokano Ismail Bilal, Zhu Xin, Lin Wei, He Siting, Liu Hui
机构信息
Department of Radiology, Xiangya Hospital, CSU, Changsha 410008, China.
Department of Obstetrics and Gynaecology, Xiangya Hospital, CSU, Changsha 410008, China.
出版信息
Curr Med Imaging. 2023;19(4):407-413. doi: 10.2174/1573405618666220615161300.
INTRODUCTION
Extrauterine endometrial stromal sarcoma (EESS) arising from Deep pelvic endometriosis (DPE) has a poor life quality and is difficult to diagnose pre-operatively. However, the patient's quality of life can be improved when it is diagnosed precisely and managed successfully.
CASE REPORT
A 35-year-old woman presented to our hospital with a 3-month history of hematochezia and anal pain. Initially, she was misdiagnosed as a rectal stromal tumor and then precisely diagnosed as having EESS from DPE following several multidisciplinary team (MDT) meetings. The lesion was shrunk by gonadotrophin-releasing hormone agonist (GnRH-α) treatment and then resected with minimal trauma.
CONCLUSION
MDT is crucial in the treatment of the patient. It can promote individualized treatment and improve patient's quality of life.
引言
起源于深部盆腔子宫内膜异位症（DPE）的子宫外子宫内膜间质肉瘤（EESS）生活质量较差，术前难以诊断。然而，若能准确诊断并成功治疗，患者的生活质量可得到改善。
病例报告
一名35岁女性因便血和肛门疼痛3个月就诊于我院。最初，她被误诊为直肠间质瘤，经多次多学科团队（MDT）会诊后，最终准确诊断为源于DPE的EESS。通过促性腺激素释放激素激动剂（GnRH-α）治疗使病灶缩小，随后以最小创伤进行了切除。
结论
MDT对该患者的治疗至关重要。它可促进个体化治疗并提高患者生活质量。
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