A rare case of uterine leiomyosarcoma: a case report.
A rare case of uterine leiomyosarcoma: a case report.
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DOI：
10.1186/1752-1947-4-222
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发表时间：
2010-07-22
影响因子：
1
通讯作者：
Kaja S
中科院分区：
文献类型：
--
作者：
Vellanki VS;Rao M;Sunkavalli CB;Chinamotu RN;Kaja S
子宫肌瘤或子宫肌瘤的恶变称为平滑肌肉瘤。它起源于子宫的平滑肌，是一种罕见的肿瘤，占所有子宫恶性肿瘤的2%至5%。文献中报道的病例很少。我们的患者没有任何生殖器出血的病史，这是子宫肉瘤的常见表现。我们报告一个最初的病例报告，这种罕见的肿瘤来自子宫。一例40岁南印度裔未产妇，腹部肿块持续一年，在过去三个月中体积迅速增大。肿瘤标记物CA-125升高，计算机断层扫描显示骨盆有肿块。我们进行了剖腹探查，组织病理学报告证实诊断为子宫平滑肌肉瘤。子宫肉瘤由于罕见，不适合筛查。诊断主要依靠组织病理学检查，手术是唯一的治疗方法。子宫肉瘤患者的预后主要取决于诊断时的疾病程度和有丝分裂指数。
Malignant change in a leiomyoma or uterine fibroid is termed leiomyosarcoma. It arises from smooth muscle of the uterus and is a rare tumor that accounts for 2% to 5% of all uterine malignancies. Very few cases are reported in the literature. Our patient did not have any history of genital bleeding, which is the usual presentation in uterine sarcoma. We report an original case report of an unusual presentation of this rare tumor arising from the uterus. A 40-year-old nulliparous woman of South Indian origin presented with a mass in her abdomen for one year with a rapid increase in size over the previous three months. Tumor marker CA-125 was raised, and a computed tomography scan showed a mass arising from the pelvis. An exploratory laparotomy was performed and the histopathology report confirmed the diagnosis of uterine leiomyosarcoma. Because of their rarity, uterine sarcomas are not suitable for screening. Diagnosis is by histopathologic examination and surgery is the only treatment. The prognosis for women with uterine sarcoma primarily depends on the extent of disease at the time of diagnosis and the mitotic index.