卵巢上皮样平滑肌肉瘤  

Epithelioid leiomyosarcoma of the ovary

作　　者：Bouie S.M Cracchiolo B Heller D 王雅楠 

机构地区：[1]Department of Pathology- UH/E158, UMDN, New Jersey Medical School, 185 South Orange Avenue, Newark, NJ 07101, United States

出　　处：《世界核心医学期刊文摘（妇产科学分册）》2005年第10期38-38,共1页Core Journal in Obstetrics/Gynecology

摘　　要：Introduction. Leiomyosarcoma of the ovary is a rare lesion usually seen in postmenopausal women. Epithelioid leiomyosarcoma of the ovary is exceptionally rare, with only one previously reported case. Case. A 42- year- old nulliparous woman undergoing ovulation induction presented with a left adnexal mass. An exploratory laparotomy was performed. Frozen section diagnosis was read as fibrothecoma, and an oophorectomy was performed. The final diagnosis was epithelioid leiomyosarcoma of the ovary. Subsequently, a staging procedure including hysterectomy was performed with no residual disease. Discussion. This is an unusual case for several reasons. Most leiomyosarcomas of the ovary have occurred in postmenopausal women and were of advanced stage at diagnosis. Our case had an epithelioid histology, occurred in a premenopausal woman, and was confined to the ovary. The fact that the patient was undergoing ovulation induction at the time of diagnosis raises the question of the risk of developing ovarian neoplasms with these medications.Introduction. Leiomyosarcoma of the ovary is a rare lesion usually seen in postmenopausal women. Epithelioid leiomyosarcoma of the ovary is exceptionally rare, with only one previously reported case. Case. A 42- year- old nulliparous woman undergoing ovulation induction presented with a left adnexal mass. An exploratory laparotomy was performed. Frozen section diagnosis was read as fibrothecoma, and an oophorectomy was performed. The final diagnosis was epithelioid leiomyosarcoma of the ovary. Subsequently, a staging procedure including hysterectomy was performed with no residual disease. Discussion. This is an unusual case for several reasons. Most leiomyosarcomas of the ovary have occurred in postmenopausal women and were of advanced stage at diagnosis. Our case had an epithelioid histology, occurred in a premenopausal woman, and was confined to the ovary. The fact that the patient was undergoing ovulation induction at the time of diagnosis raises the question of the risk of developing ovarian neoplasms with these medications.

关 键 词：卵巢上皮 平滑肌肉瘤 附件肿块 诱导排卵 病理诊断 平滑肌病 子宫切除术 冰冻切片诊断 卵巢切除术 残留病灶 

分 类 号：R737.31[医药卫生—肿瘤]