女性因子宫阴道脱垂而患有原发性卵巢平滑肌肉瘤。
Primary ovarian leiomyosarcoma in a woman with uterovaginal prolapse.
机构信息
Obstetrics and Gynaecology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Obstetrics and Gynaecology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
出版信息
BMJ Case Rep. 2022 Sep 26;15(9):e251733. doi: 10.1136/bcr-2022-251733.
Primary ovarian leiomyosarcoma is a very uncommon and aggressive neoplasm. We presented a right-sided ovarian leiomyosarcoma in a woman in her late 40s. No case has been described in the literature till now of primary ovarian leiomyosarcoma in a woman with uterovaginal prolapse. A total abdominal hysterectomy with bilateral adnexectomy, metastasectomy, excision of large tumour deposit over small intestine followed by resection with ileo-ileal anastomosis and omentectomy was performed. The diagnosis was made based on morphology along with immunohistochemistry. The patient was given adjuvant chemotherapy during postoperative period. Due to rarity, there is a dearth of information on the clinical behaviour and best treatment options for these tumours. This case report highlighted the importance of clinical awareness and aimed to provide a baseline to guide clinical practice as well as future research.
原发性卵巢平滑肌肉瘤是一种非常罕见且侵袭性的肿瘤。我们报告了一例 40 多岁女性右侧卵巢平滑肌肉瘤。迄今为止，文献中尚未描述过患有阴道子宫脱垂的女性原发性卵巢平滑肌肉瘤。行全子宫切除术+双侧附件切除术、转移灶切除术、小肠表面巨大肿瘤病灶切除术，随后行回肠-回肠吻合术和网膜切除术。诊断基于形态学和免疫组织化学。术后给予辅助化疗。由于罕见，这些肿瘤的临床行为和最佳治疗方案的信息匮乏。本病例报告强调了临床意识的重要性，并旨在提供一个基准，以指导临床实践和未来的研究。
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