低级别子宫内膜间质肉瘤盆腔播散伴静脉瘤栓1例  

A case of LG-ESS with pelvic dissemination and venous tumor thrombus

作　　者：周锶琦 段君熠 方振福 刘木彪 ZHOU Siqi;DUAN Junyi;FANG Zhenfu;LIU Mubiao(The First Clinical School of Medicine,Guangdong Medical University,Zhanjiang 524023,China;Department of Gynecology,Zhuhai People’s Hospital(Zhuhai Hospital Affiliated with Jinan University),Zhuhai 519050,China)

机构地区：[1]广东医科大学第一临床医学院,广东湛江524023 [2]珠海市人民医院(暨南大学珠海临床医学院)妇科,广东珠海519050

出　　处：《广东医科大学学报》2024年第5期468-473,共6页Journal of Guangdong Medical University

基　　金：广东省基础与应用基础研究基金省企联合基金项目(重点项目)(2023B1515230010)。

摘　　要：低级别子宫内膜间质肉瘤(LG-ESS)因其缺乏典型临床表现及影像特征,术前诊断困难,易误诊为子宫其他类型的良恶性病变。该文报道1例术前考虑为腹膜播散性平滑肌瘤病伴静脉内平滑肌瘤,术后病理诊断为LG-ESS盆腔播散伴静脉瘤栓病例,结合文献复习,讨论诊疗过程中的经验与不足,以期提高医生对该病的认识,减少漏诊、误诊。Low-grade endometrial stromal sarcoma(LG-ESS)is difficult to diagnose preoperatively due to its lack of typical clinical manifestations and imaging features,and is easily misdiagnosed as other types of benign or malignant lesions of the uterus.This paper presents a case of peritoneal disseminated leiomyomatosis with intravenously leiomyoma,and postoperative pathological diagnosis of LG-ESS pelvic spread with venous tumor embolus.Following a review of the literature,the experience and deficiencies in diagnosis and treatment were discussed in order to improve doctors’understanding of the disease and reduce missed diagnosis and misdiagnosis.

关 键 词：低级别子宫内膜间质肉瘤 子宫内膜间质肿瘤 免疫组化 治疗 

分 类 号：R711.74[医药卫生—妇产科学]