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绝经后女性疑似平滑肌肉瘤的转移性子宫肌瘤:一例报告及文献综述

Metastatic uterine fibroid in postmenopausal woman suspected of leiomyosarcoma: A case report and literature review.

作者信息

Alburshaid Mona N

机构信息

Department of Obstetrics & Gynaecology, King Fahad University Hospital, College of Medicine, IAU, Alkhobar, KSA.

出版信息

J Taibah Univ Med Sci. 2021 Dec 25;17(4):614-618. doi: 10.1016/j.jtumed.2021.11.005. eCollection 2022 Aug.

DOI:10.1016/j.jtumed.2021.11.005
PMID:35983455
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9356359/
Abstract

Benign metastatic leiomyoma is a unique event presenting most commonly in premenopausal women especially those with a previous history of gynecological surgery as management of uterine fibroids. In this case report, we investigate a rare case of benign metastatic leiomyoma in a 54-year-old postmenopausal female presented with a huge pelvic mass that was rapidly growing along with pulmonary nodules. The patient is suspected to have leiomyosarcoma which is eventually confirmed pathologically as benign metastatic leiomyoma. Although rare, describing the challenging diagnostic and management approach of such entity is essential and to consider it one of the differential diagnoses of patients who present with similar history.

摘要

良性转移性平滑肌瘤是一种独特的病症,最常见于绝经前女性,尤其是那些既往有过因子宫肌瘤接受妇科手术史的女性。在本病例报告中,我们研究了一例罕见的良性转移性平滑肌瘤病例,患者为一名54岁的绝经后女性,表现为巨大盆腔肿块且伴有肺部结节并迅速增大。该患者最初被怀疑患有平滑肌肉瘤,最终经病理证实为良性转移性平滑肌瘤。尽管罕见,但描述此类病症具有挑战性的诊断和管理方法至关重要,并且要将其视为具有类似病史患者的鉴别诊断之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3300/9356359/c75c678da38a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3300/9356359/7bd38d966c3d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3300/9356359/85bd0fc248ae/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3300/9356359/f1fac0eca860/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3300/9356359/c75c678da38a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3300/9356359/7bd38d966c3d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3300/9356359/85bd0fc248ae/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3300/9356359/f1fac0eca860/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3300/9356359/c75c678da38a/gr4.jpg

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Case Rep Oncol. 2019 Feb 28;12(1):218-223. doi: 10.1159/000496333. eCollection 2019 Jan-Apr.
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Pelvic and pulmonary benign metastasizing leiomyoma: A case report.盆腔及肺部良性转移性平滑肌瘤:一例报告
Case Rep Womens Health. 2018 Mar 31;18:e00061. doi: 10.1016/j.crwh.2018.e00061. eCollection 2018 Apr.
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Unexpected pulmonary tumor: metastasis from a benign uterine leiomyoma in a post-menopausal woman: a case report.
意外发现的肺部肿瘤:一名绝经后女性良性子宫平滑肌瘤转移所致:病例报告
BMC Res Notes. 2017 Dec 1;10(1):662. doi: 10.1186/s13104-017-2998-6.
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Benign metastasizing leiomyoma: A review of current literature in respect to the time and type of previous gynecological surgery.良性转移性平滑肌瘤:关于既往妇科手术时间和类型的当前文献综述
PLoS One. 2017 Apr 20;12(4):e0175875. doi: 10.1371/journal.pone.0175875. eCollection 2017.
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Benign metastasizing leiomyoma of the cervical spine 31 years after uterine leiomyoma resection.子宫平滑肌瘤切除术后31年发生的颈椎良性转移性平滑肌瘤。
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