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一例外阴平滑肌瘤病例报告:一种罕见的病理实体。

A Case Report of Vulvar Leiomyoma: A Rare Pathological Entity.

作者信息

Kalambe Minal, Gattani Preeti, Bankar Nandkishor J

机构信息

Obstetrics and Gynaecology, Datta Meghe Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Microbiology, Jawarhal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Aug 2;15(8):e42878. doi: 10.7759/cureus.42878. eCollection 2023 Aug.

Abstract

Smooth muscle tumors, known as leiomyomas, are benign and can grow anywhere in the body, but the uterine myometrium is the most common site. Vulvar leiomyomas are uncommon and rare. We report a case of a 25-year-old female P (para) 1 L (live) 1 with a previous normal vaginal delivery, who presented two painless swelling of in vulva for one year. The urethral meatus deviated to the left side. After surgical excision, a histopathological examination was performed that confirmed leiomyoma. The patient was discharged after an uneventful postoperative period. A vulvar leiomyoma tumor is often mistaken for a Bartholin cyst, and it is challenging to distinguish between benign and malignant types of vulvar leiomyomas, making diagnosis extremely challenging.

摘要

平滑肌瘤,即子宫平滑肌瘤,是良性的,可生长在身体的任何部位,但子宫肌层是最常见的部位。外阴平滑肌瘤并不常见且罕见。我们报告一例25岁经产1次、顺产1次的女性病例,此前曾正常阴道分娩,她外阴出现两个无痛性肿物已有一年。尿道口向左偏移。手术切除后进行了组织病理学检查,证实为平滑肌瘤。术后恢复顺利,患者出院。外阴平滑肌瘤常被误诊为巴氏腺囊肿,区分良性和恶性外阴平滑肌瘤具有挑战性,这使得诊断极具难度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29d2/10474907/c43686c79905/cureus-0015-00000042878-i01.jpg

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