高龄女性盆腔深部侵袭性血管黏液瘤一例  

A Case Report of Deep Aggressive Angiomyxoma of Female Pelvis in An Elderly Female

作　　者：尹雨鑫 王长河[2] YIN Yu-xin;WANG Chang-he(School of Clinical Medicine,Jining Medical University,Jining 272013,Shandong Province,China;Department of Gynecology,Jining First People′s Hospital,Jining 272011,Shandong Province,China)

机构地区：[1]济宁医学院临床医学院,272013 [2]济宁市第一人民医院妇科

出　　处：《国际妇产科学杂志》2025年第2期191-194,共4页Journal of International Obstetrics and Gynecology

摘　　要：深部侵袭性血管黏液瘤(deep aggressive angiomyxoma,DAA)是一种具有局部侵袭而无转移的软组织肿瘤,好发于育龄期女性,病因不明,早期诊断困难。报告1例罕见的高龄女性盆腔DAA患者的诊治经过,患者因发现盆腔肿物4年余,左下腹间断性疼痛1年,门诊彩色多普勒超声提示盆腔肿物收入院治疗,考虑患者高龄,入院后先行超声引导下穿刺活检,穿刺病理回报提示梭形细胞肉瘤。因活检组织局限,最终行经腹盆腔肿物切除术,术后病理回报提示DAA。目前该患者病情稳定,仍在密切随访中。通过回顾分析该病例的临床特点及诊治经过,以期提高临床对于该病的认识。Deep aggressive angiomyxoma(DAA)is a soft tissue tumor with local invasion without metastasis.It is most common in women of childbearing age.The etiology is unknown and early diagnosis is difficult.This paper reports the diagnosis and treatment of a rare elderly female patient with DAA.The patient was admitted to the hospital due to pelvic tumor found for over 4 years and intermittent pain in the left lower abdomen for 1 year and received color ultrasound in the outpatient department indicating pelvic tumor.Considering the patient′s advanced age,ultrasound-guided puncture biopsy was performed after admission,and the puncture pathology revealed spindle cell sarcoma.Due to limited biopsy tissue,transabdominal pelvic mass resection was performed.Postoperative pathological findings showed DAA.At present,the patient is still in close follow-up and her condition is stable.This study retrospectively analyzed the clinical characteristics and diagnosis and treatment process of the case,in order to improve clinical understanding of the disease.

关 键 词：黏液瘤 肿瘤 结缔组织 病理学 临床 病例报告 深部侵袭性血管黏液瘤 

分 类 号：R737.3[医药卫生—肿瘤]