Mesothelial cyst of uterine corpus misdiagnosed as leiomyoma  

作　　者：Shi-Ping Mo Meng-Yao Wang Jin-Ke Li 

机构地区：[1]Department of Obstetrics and Gynecology,West China Second Hospital,Sichuan University,Chengdu,Sichuan 610041,China [2]Key Laboratory of Birth Defects and Related Diseases of Women and Children,Ministiy of Education,Sichuan University,Chengdu,Sichuan 610041,China

出　　处：《Chinese Medical Journal》2019年第12期1502-1503,共2页中华医学杂志（英文版）

摘　　要：A 46-year old woman (gravida 3, para 1) presented at West China Second Hospital with complaints of a space-occupying lesion in the uterus that, 2 years before, had been diagnosed as a uterine cyst at West China Second Hospital. On that previous occasion, B-ultrasonography revealed a cystic mass with a compartmentalized structure (10.3 × 5.4 × 8.8 cm) on the left side of the pelvic cavity, and laparoscopic exploration found a cystic mass on the posterior uterine wall, which was diagnosed as "leiomyoma with cystic degeneration" based on pathology analysis of flash-frozen surgical tissues. Laparoscopic "myomectomy" was performed, and pathology analysis of paraffin-embedded tissue confirmed "leiomyoma with degeneration." Immunohistochemistry showed the lesion to be positive for caldesmon but negative for CD10. Rate of Ki67 positivity was less than 1%, indicating a benign lesion. The woman recovered well after the operation. Follow-up ultrasonography at 3 months after surgery identified a uterine cystic mass of 3.0 × 2.5 × 1.7 cm.

关 键 词：Mesothelial CYST UTERINE CORPUS AS LEIOMYOMA 

分 类 号：R[医药卫生]