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一例带蒂的浆膜下大子宫肌瘤伴囊性及红色变性:病例报告并文献复习

A large pedunculated subserosal myoma with cystic and red degeneration: A case report with literature review.

作者信息

Oukassem Siham, Abourak Chaimae, Guennouni Asmae, Belkouchi Lina, Allali Nazik, Chat Latifa, El Haddad Siham, Laaboud Khaoula, Bennaceur Samia, Douraidi Nada, Rachid Maakoul, El Hanchi Zaki

机构信息

Department of Radiology, Mother-Child, Faculty of Medicine and Pharmacy of Rabat, Children's Hospital, Ibn Sina University Hospital, Mohammed V University, Rabat, Morocco.

Department of of Gynecology, Mother-Child, Faculty of Medicine and Pharmacy of Rabat, Children's Hospital, Ibn Sina University Hospital, Mohammed V University, Rabat, Morocco.

出版信息

Radiol Case Rep. 2025 May 15;20(8):3770-3776. doi: 10.1016/j.radcr.2025.04.050. eCollection 2025 Aug.

DOI:10.1016/j.radcr.2025.04.050
PMID:40486163
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12144445/
Abstract

Uterine fibroids, although common and benign, may occasionally present with atypical features, including rare forms of degeneration, which can obscure their clinical and radiological identification. These unusual presentations may simulate adnexal or ovarian neoplasms, posing a significant diagnostic challenge. Pelvic imaging particularly magnetic resonance imaging (MRI) plays a pivotal role by offering high-resolution characterization of the lesion's composition, origin, and relationship to adjacent structures, thus guiding appropriate therapeutic strategies. We report a clinical case that underscores this diagnostic complexity and emphasizes the importance of a multidisciplinary approach, integrating advanced imaging modalities to establish an accurate diagnosis.

摘要

子宫肌瘤虽然常见且为良性,但偶尔可能呈现非典型特征,包括罕见的变性形式,这会模糊其临床和影像学识别。这些不寻常的表现可能类似附件或卵巢肿瘤,带来重大的诊断挑战。盆腔成像尤其是磁共振成像(MRI)通过提供病变组成、起源及其与相邻结构关系的高分辨率特征发挥关键作用,从而指导适当的治疗策略。我们报告一例临床病例,该病例突出了这种诊断复杂性,并强调了多学科方法的重要性,即整合先进成像模式以建立准确诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baec/12144445/56525cdef8d4/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baec/12144445/a3a778b59596/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baec/12144445/8291342a1cd1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baec/12144445/a147543f6fb2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baec/12144445/529546b5e452/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baec/12144445/883726808f36/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baec/12144445/56525cdef8d4/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baec/12144445/a3a778b59596/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baec/12144445/8291342a1cd1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baec/12144445/a147543f6fb2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baec/12144445/529546b5e452/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baec/12144445/883726808f36/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baec/12144445/56525cdef8d4/gr6.jpg

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本文引用的文献

1
Acute abdomen by red degeneration of a parasitic leiomyoma: A case report and literature review.寄生性平滑肌瘤红色变性致急腹症:一例报告及文献复习
Radiol Case Rep. 2024 Jan 27;19(4):1533-1536. doi: 10.1016/j.radcr.2024.01.031. eCollection 2024 Apr.
2
Intra-leiomyoma hemorrhage in postmenopausal woman presented with acute abdominal pain.绝经后女性平滑肌瘤内出血伴急性腹痛。
J Family Med Prim Care. 2018 Sep-Oct;7(5):1129-1132. doi: 10.4103/jfmpc.jfmpc_215_18.
3
Evaluation of Red Degeneration of Uterine Leiomyoma with Susceptibility-weighted MR Imaging.
磁共振磁敏感加权成像评价子宫肌瘤红色变性。
Magn Reson Med Sci. 2019 Apr 10;18(2):158-162. doi: 10.2463/mrms.mp.2018-0074. Epub 2018 Oct 1.
4
Postmenopausal uterine leiomyoma with hemorrhagic cystic degeneration mimicking ovarian malignancy.绝经后子宫平滑肌瘤伴出血性囊性变,酷似卵巢恶性肿瘤。
Taiwan J Obstet Gynecol. 2007 Dec;46(4):431-4. doi: 10.1016/S1028-4559(08)60018-2.