Hoynck van Papendrecht H P, Gratama S
Eur J Obstet Gynecol Reprod Biol. 1983 Jan;14(4):251-9. doi: 10.1016/0028-2243(83)90268-x.
In the course of a cesarean section on a 38-yr-old negroid patient the peritoneum was found to be studded with small greyish white nodules resembling carcinomatosis peritonei. On microscopical examination these appeared to be composed of decidualized cells and smooth-muscle cells. No evidence of malignancy was observed. Another 18 cases of leiomyomatosis peritonealis disseminata have been reported previously in the literature. It seems likely that these small tumors originate from subcelomic mesenchymal cells which, through a process of metaplasia, differentiate into myofibroblasts under the influence of hormonal factors. At laparoscopy, performed several years before the patient's pregnancy, the peritoneum was observed to be entirely normal. Regression of the nodules was evident at laparoscopy 12 wk post partum.
在为一名38岁的黑人患者进行剖宫产手术时，发现腹膜上布满了类似腹膜癌病的灰白色小结节。显微镜检查显示，这些结节似乎由蜕膜化细胞和平滑肌细胞组成。未观察到恶性证据。此前文献中已报道过另外18例播散性腹膜平滑肌瘤病。这些小肿瘤似乎起源于间皮间充质细胞，在激素因素的影响下，通过化生过程分化为肌成纤维细胞。在患者怀孕前几年进行的腹腔镜检查中，观察到腹膜完全正常。产后12周腹腔镜检查时，结节明显消退。
