Marabini A, Gubbini G, De Jaco P, Stagnozzi R, Santini D
Department of Obstetrics and Gynecology, S. Orsola Hospital, Bologna, Italy.
Gynecol Oncol. 1995 Dec;59(3):409-11. doi: 10.1006/gyno.1995.9951.
A 26-year-old woman underwent operative hysteroscopy to remove a polypoid lesion, responsible for recurrent abnormal uterine bleeding. The polypoid mass was 4 cm long, smooth, with dilated vessels. It had a large base and originated from the fundum and posterior wall of the uterus. Pathological examination of the resected specimen showed low-grade stromal sarcoma. The patient subsequently underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy. No tumor residual was found in the surgical specimen. As diagnosis of stromal sarcoma is too difficult to be made preoperatively, the complete resection of all intracavitary lesions and the pathology of all tissue specimens are suggested.
一名26岁女性接受了宫腔镜手术，以切除导致反复异常子宫出血的息肉样病变。息肉样肿物长4厘米，表面光滑，有扩张的血管。其基底较大，起源于子宫底部和后壁。切除标本的病理检查显示为低级别间质肉瘤。该患者随后接受了全腹子宫切除术和双侧输卵管卵巢切除术。手术标本中未发现肿瘤残留。由于术前诊断间质肉瘤非常困难，建议完整切除所有腔内病变并对所有组织标本进行病理检查。
