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低级别子宫内膜间质肉瘤,一种罕见的子宫肿瘤:病例报告。

Low-grade endometrial stromal sarcoma, a rare uterine tumor: Case report.

作者信息

Hafiani Hamza, Bouknani Nawal, Oqbani Kenza, Rami Amal

机构信息

Mohammed VI University of Health Sciences Faculty of Medicine, Cheikh Khalifa Hospital, Casablanca-Settat.

出版信息

Radiol Case Rep. 2024 Feb 22;19(5):1823-1826. doi: 10.1016/j.radcr.2024.01.075. eCollection 2024 May.

Abstract

This case report describes a 45-year-old woman presenting with abnormal uterine bleeding and a cervical mass. Imaging and biopsy revealed low-grade endometrial stromal sarcoma (LGESS), emphasizing the importance of comprehensive evaluation for uterine masses. The report underscores the role of MRI and pathology in diagnosis, with immunohistochemical analysis helping confirmation. A multidisciplinary approach and vigilant follow-up are crucial for optimal management. The rarity of LGESS and its challenging diagnosis highlight the need for continued research to improve diagnostic and therapeutic strategies. Surgical intervention remains primary, but the optimal management approach is debated. This report indicates the necessity of a comprehensive approach to uterine mass evaluation and ongoing research for enhanced patient care.

摘要

本病例报告描述了一名45岁女性,出现异常子宫出血和宫颈肿块。影像学检查和活检显示为低级别子宫内膜间质肉瘤(LGESS),强调了对子宫肿块进行综合评估的重要性。该报告强调了MRI和病理学在诊断中的作用,免疫组织化学分析有助于确诊。多学科方法和密切随访对于优化管理至关重要。LGESS的罕见性及其具有挑战性的诊断凸显了持续开展研究以改进诊断和治疗策略的必要性。手术干预仍然是主要手段,但最佳管理方法存在争议。本报告指出了对子宫肿块评估采取综合方法以及持续开展研究以改善患者护理的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9a7/10899045/6cfbe839cd18/gr1.jpg

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