16例子宫静脉内平滑肌瘤临床分析  

Clinical Analysis of 16 Cases of Intravenous Leiomyomatosis of the Uterus

作　　者：祁冀[1] 赵建国[1] 曲芃芃[1] 

机构地区：[1]天津市中心妇产科医院妇瘤科,天津市300100

出　　处：《中国肿瘤临床》2010年第19期1123-1126,共4页Chinese Journal of Clinical Oncology

摘　　要：目的:分析子宫静脉平滑肌瘤的临床病理特征,探讨其诊断与治疗方法。方法:回顾性分析自2004年4月至2009年10月我院确诊的子宫静脉平滑肌瘤患者的临床特征及病理资料。结果:子宫静脉平滑肌瘤的临床表现与子宫肌瘤或子宫肌腺症相似,术前超声诊断率很低,术中绝大部分子宫静脉平滑肌瘤可以诊断,子宫静脉平滑肌瘤可以发生在宫体、宫颈及阔韧带内。手术方式有子宫肌瘤剔除术、全子宫切除术、全子宫+双附件切除术。术后随访有1例复发。结论:子宫静脉平滑肌瘤是一种具有生长转移特征的的良性肿瘤,术前诊断困难,术中应仔细探查,切除全部肿瘤,且术后要严密随访。Objective： To analyze the clinical and pathological features of intravenous leiomyomatosis of the uterus and to investigate its diagnosis and treament. Methods： We reviewed the data of 16 IVL cases treated in our hospital between 2004 and 2009. Results： IVL had similar clinical manifestations to myoma of the uterus and adenomyosis. The diagnositic rate of preoperative ultrasonography was low. Most IVL can be diagnosed during surgery. IVL occured in the corpus, cervix and broad ligament. Myomectomy, hysterectomy or oophorectomy were performed to remove IVL. One case had- recurrence after surgery. Conclusion： IVL is benign tumor with features of growth and metastasis. Its preoperative diagnosis is difficult. Careful exploration, total resection and close followed-up are needed.

关 键 词：子宫静脉平滑肌瘤 诊断 治疗 复发 

分 类 号：R737.33[医药卫生—肿瘤]