Kawagoe H, Kataoka A, Sugiyama T, Nishida T, Yakushiji M, Shirouzu K
Department of Obstetrics and Gynecology, Kurume University School of Medicine, Japan.
Eur J Obstet Gynecol Reprod Biol. 1996 Jun;66(2):187-91. doi: 10.1016/0301-2115(96)02389-5.
We present a challenging case of differential diagnosis of leiomyosarcoma of the small intestine in a patient presented with a pelvic mass. This 43-year-old Japanese woman complained of hypermenorrhea and was diagnosed as myoma uteri. She underwent partial resection of the ileum with a primary end-to-end anastomosis, omentectomy, and appendectomy, as well as a simple hysterectomy and bilateral salpingo-oophorectomy. CT and MRI indicated an intestinal tumor at the gaseous site. The histological diagnosis was leiomyosarcoma of the small intestine and leiomyoma of the uterus. Although such leiomyosarcomas are rare, they can appear as pelvic masses and must be differentiated from gynecologic disease. Preoperative CT and MRI of the abdomen were useful in obtaining the diagnosis.
我们呈现了一例具有挑战性的病例，该病例为一名出现盆腔肿块的患者，需对小肠平滑肌肉瘤进行鉴别诊断。这位43岁的日本女性主诉月经过多，最初被诊断为子宫肌瘤。她接受了回肠部分切除术并进行了端端吻合、网膜切除术和阑尾切除术，同时还进行了单纯子宫切除术和双侧输卵管卵巢切除术。CT和MRI显示气体部位有一个肠道肿瘤。组织学诊断为小肠平滑肌肉瘤和子宫平滑肌瘤。尽管这种小肠平滑肌肉瘤很罕见，但它们可表现为盆腔肿块，必须与妇科疾病相鉴别。术前腹部CT和MRI有助于做出诊断。
