卵巢静脉血管平滑肌肉瘤一例并文献复习  

Ovarian Venous Angioleiomyosarcoma:A Case Report and Literature Review

作　　者：李玉兰[1] 要慧萍[2] 杨盼盼 肖晨朦 马雪影 刘晓 许飞雪[2] LI Yu-lan;YAO Hui-ping;YANG Pan-pan;XIAO Chen-meng;MA Xue-ying;LIU Xiao;XU Fei-xue(The First Clinical Medical College of Lanzhou University,Lanzhou 730000,China;Department of Obstetrics and Gynecology,The First Hospital of Lanzhou University,Key Laboratory of Gynecologic Oncology of Gansu Province,Lanzhou 730000,China)

机构地区：[1]兰州大学第一临床医学院,730000 [2]兰州大学第一医院妇产科,甘肃省妇科肿瘤重点实验室

出　　处：《国际生殖健康／计划生育杂志》2022年第6期468-471,共4页Journal of International Reproductive Health/Family Planning

摘　　要：报告1例较罕见的卵巢静脉血管平滑肌肉瘤的病例。该患者为34岁年轻女性,临床主要表现为发现盆腔肿物3年,左下腹不适伴月经周期延长1个月余,血清肿瘤标志物升高不明显,磁共振成像示盆腔左侧髂血管旁类圆形异常信号占位影。该患者于2022年4月28日在气管插管全身麻醉下行腹腔镜下盆腔肿物切除术+右侧卵巢囊肿剥除术+盆腔粘连松解术,术后给予多柔比星脂质体化疗,现密切随访中。分析该病例资料,并复习国内外报道的12例卵巢静脉血管平滑肌肉瘤的病例资料,以期提高对该病的认识。A case of ovarian venous angioleiomyosarcoma is reported.The patient was a 34-year-old young woman.The main clinical manifestations were the discovery of pelvic mass for 3 years,left lower quadrant discomfort and prolonged menstrual cycle for more than 1 month.The increases of the serum tumor markers were not obvious.The magnetic resonance imaging showed the abnormal signal mass beside the left iliac blood vessels in the left pelvis.The patient underwent laparoscopic pelvic tumor resection,right ovarian cyst excision and pelvic adhesion release under general anesthesia with tracheal intubation on April 28,2022.The doxorubicin liposome chemotherapy was given after surgery,and the patient was followed up closely.To analyze the clinical data of this case,and to review the reported data of 12 cases will be helpful for us to improve the understanding of ovarian venous angioleiomyosarcoma.

关 键 词：卵巢 平滑肌肉瘤 静脉 诊断 治疗 预后 

分 类 号：R737.31[医药卫生—肿瘤]