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子宫黏液性平滑肌肉瘤1例罕见病例

A Rare Case of Uterine Myxoid Leiomyosarcoma.

作者信息

Wankhade Rashmi, Sajjanar Anita, Dawande Pratibha, Noman Obaid

机构信息

Pathology, Datta Meghe Medical College, Datta Meghe Institute of Higher Education and Research, Nagpur, IND.

Pathology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Aug 29;15(8):e44303. doi: 10.7759/cureus.44303. eCollection 2023 Aug.

DOI:10.7759/cureus.44303
PMID:37779752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10534267/
Abstract

A 49-year-old female patient was referred to a tertiary care hospital with a history of postmenopausal bleeding and abdominal pain that had persisted for the last two months. An abdominal examination revealed a huge mass that had been present for 12 weeks. A fibroid uterus was suggested by USG. A biopsy was done and sent to histopathology which revealed myxoid leiomyoma. Subsequently, the patient underwent total abdominal hysterectomy without bilateral salpingo-oophorectomy. Histopathological examination confirmed the diagnosis of myxoid leiomyosarcoma (MLMS) of the uterus.

摘要

一名49岁女性患者因绝经后出血和腹痛病史被转诊至一家三级护理医院，这些症状在过去两个月一直持续。腹部检查发现一个已存在12周的巨大肿块。超声检查提示为子宫肌瘤。进行了活检并送去做组织病理学检查，结果显示为黏液样平滑肌瘤。随后，患者接受了全腹子宫切除术，但未进行双侧输卵管卵巢切除术。组织病理学检查确诊为子宫黏液样平滑肌肉瘤（MLMS）。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a2/10534267/388be674c566/cureus-0015-00000044303-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a2/10534267/cd5092243e42/cureus-0015-00000044303-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a2/10534267/a1304ce84f7a/cureus-0015-00000044303-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a2/10534267/30d304cfa252/cureus-0015-00000044303-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a2/10534267/388be674c566/cureus-0015-00000044303-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a2/10534267/cd5092243e42/cureus-0015-00000044303-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a2/10534267/a1304ce84f7a/cureus-0015-00000044303-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a2/10534267/30d304cfa252/cureus-0015-00000044303-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a2/10534267/388be674c566/cureus-0015-00000044303-i04.jpg

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本文引用的文献

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Myxoid leiomyosarcoma of the uterus: a clinicopathological and immunohistochemical study of 10 cases.子宫黏液样平滑肌肉瘤：10例临床病理及免疫组化研究
Hum Pathol. 2017 Jan;59:139-146. doi: 10.1016/j.humpath.2016.09.014. Epub 2016 Oct 4.
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Myxoid Leiomyosarcoma of the Uterus: A Clinicopathologic Analysis of 30 Cases and Review of the Literature With Reappraisal of Its Distinction From Other Uterine Myxoid Mesenchymal Neoplasms.子宫黏液样平滑肌肉瘤：30例临床病理分析及文献复习，并重新评估其与其他子宫黏液样间叶性肿瘤的鉴别诊断
Am J Surg Pathol. 2016 Mar;40(3):285-301. doi: 10.1097/PAS.0000000000000593.
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Metastatic pattern of uterine leiomyosarcoma: retrospective analysis of the predictors and outcome in 113 patients.
子宫平滑肌肉瘤的转移模式：113例患者预测因素及预后的回顾性分析
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Myxoid leiomyosarcoma of the uterus.子宫黏液样平滑肌肉瘤。
Histopathology. 2011 Dec;59(6):1144-55. doi: 10.1111/j.1365-2559.2011.04053.x.
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Uterine sarcomas in Norway. A histopathological and prognostic survey of a total population from 1970 to 2000 including 419 patients.挪威的子宫肉瘤。对1970年至2000年期间包括419名患者在内的全体人群进行的组织病理学和预后调查。
Histopathology. 2009 Feb;54(3):355-64. doi: 10.1111/j.1365-2559.2009.03231.x.
6
FIGO staging for uterine sarcomas.子宫肉瘤的国际妇产科联盟（FIGO）分期
Int J Gynaecol Obstet. 2009 Mar;104(3):177-8. doi: 10.1016/j.ijgo.2008.12.008. Epub 2009 Jan 9.
7
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Gynecol Oncol. 2003 Jun;89(3):460-9. doi: 10.1016/s0090-8258(03)00137-9.
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Gynecol Oncol. 2002 Jun;85(3):538-42. doi: 10.1006/gyno.2002.6634.
9
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