Wu Juan, Wang Xiaofeng, Ye Na, Yan Xueliang, Zeng Xiangting, Nie Fang
Department of Ultrasound, Lanzhou University Second Hospital, Lanzhou University, Lanzhou 730030, 82 Cuiyingmen, Chengguan District, Lanzhou City, Gansu Province, China.
Department of General Surgery, Lanzhou University Second Hospital, Lanzhou University, Lanzhou 730030, 82 Cuiyingmen, Chengguan District, Lanzhou City, Gansu Province, China.
Curr Med Imaging. 2024;20:e15734056286949. doi: 10.2174/0115734056286949240130114710.
Fallopian tube leiomyoma is an uncommon, benign gynecologic tumor that originates from the smooth muscle of the fallopian tube or vascular cells supplying the fallopian tube.
In this study, we report a case of a patient with fallopian tube leiomyoma. What makes this instance even more unique is the association of the leiomyoma with cystic degeneration, manifesting as a large abdominopelvic cystic mass. CT scan suspected that the mass might be an ovarian cystadenoma. However, ultrasonography, a widely used diagnostic tool, effectively assisted the clinicians in confidently ruling out the possibility that the tumor was originating from the ovaries. Ultimately, the patient underwent exploratory laparoscopy and the pathologic diagnosis was fallopian tube leiomyoma with cystic degeneration. To our knowledge, no instance of a fallopian tube leiomyoma of this size with cystic degeneration has been reported. Thus, it is worth mentioning.
In summary, fallopian tube leiomyomas are classified as uncommon benign gynecologic tumors, which pose challenges in clinical diagnosis. The combined use of multiple imaging modalities may be more helpful in the proper diagnosis of this disease entity.
输卵管平滑肌瘤是一种罕见的良性妇科肿瘤，起源于输卵管的平滑肌或供应输卵管的血管细胞。
在本研究中，我们报告了一例输卵管平滑肌瘤患者。该病例更为独特之处在于平滑肌瘤与囊性变相关，表现为巨大的腹盆腔囊性肿块。CT扫描怀疑该肿块可能是卵巢囊腺瘤。然而，超声检查这一广泛使用的诊断工具有效地协助临床医生排除了肿瘤起源于卵巢的可能性。最终，患者接受了 exploratory laparoscopy（此处原文有误，推测可能是“exploratory laparotomy”，即剖腹探查术），病理诊断为伴有囊性变的输卵管平滑肌瘤。据我们所知，尚未有如此大小且伴有囊性变的输卵管平滑肌瘤病例报告。因此，值得一提。
总之，输卵管平滑肌瘤被归类为罕见的良性妇科肿瘤，在临床诊断中具有挑战性。多种成像方式的联合使用可能更有助于对该疾病实体进行准确诊断。
