子宫肌瘤剔除术后5个月腹膜播散性平滑肌瘤病一例  

Diagnosis of leiomyomatosis peritonealis disseminate at 5 months after myomectomy:a case report

作　　者：许阡 王祎祎 张佟 汪沙[1] 段华[1] 王金娟[1] Xu Qian;Wang Yiyi;Zhang Tong;Wang Sha;Duan Hua;Wang Jinjuan(Gynecology Minimally Invasive Center,Beijing Obstetrics and Gynecology Hospital,Capital Medical University/Beijing Maternal and Child Health Care Hospital,Beijing 100006,China)

机构地区：[1]首都医科大学附属北京妇产医院/北京妇幼保健院妇科微创中心,北京100006

出　　处：《新医学》2022年第9期700-704,共5页Journal of New Medicine

摘　　要：腹膜播散性平滑肌瘤病(LPD)是发生在盆腹腔的一种罕见的良性增殖性疾病,多表现为平滑肌瘤结节弥散分布于盆腹腔腹膜、网膜、肠管、肠系膜、直肠子宫陷凹等位置。患者大多无明显特异性症状,国内外多为个案报道。富于细胞型子宫平滑肌瘤是一种特殊类型的子宫肌瘤,术后短时间内发生LPD的病例在国内外鲜有报道。该文报道1例子宫富于细胞型平滑肌瘤剔除术后5个月发生LPD的病例,该患者短时间内LPD的结节生长至9 cm,生长迅速,极其罕见。该文通过文献复习LPD的发病机制、临床表现、诊断及治疗,探讨其与富于细胞型子宫平滑肌瘤的关系,总结该病例的诊疗经验。Leiomyomatosis peritonealis disseminate(LPD)is a rare benign proliferative disease characterized by the presence of multiple nodules composed of smooth muscle tissues scattered in the pelvic and abdominal peritoneum,omentum,intestines,mesentery and recto-uterine pouch.Most patients present with non-specific symptoms.Single case reports have been reported at home and abroad.Cellular leiomyoma is a special type of leiomyoma.Few cases of LPD secondary to cellular leiomyoma have been described.In this article,one case of cellular leiomyoma presenting with LPD at 5 months after myomectomy was reported.In this patient,the nodules of LPD grew to 9 cm in a short period of time.The growth was rapid,which was extremely rare.In this article,literature review was performed to investigate the pathogenesis,clinical manifestations,diagnosis and treatment of LPD,explore its relationship with cellular leiomyoma,and summarize the diagnosis and treatment experience of this case.

关 键 词：腹膜播散性平滑肌瘤病 富于细胞型子宫平滑肌瘤 子宫肌瘤 预后 

分 类 号：R737.33[医药卫生—肿瘤]