文献类型：期刊文献

中文题名：子宫平滑肌肉瘤盆腹腔广泛播散一例

英文题名：A Case of Widespread Pelvic and Abdominal Dissemination of Uterine Leiomyosarcoma

作者：孙健豪[1];吴珍珍[2];毛宝宏[2];王芳[2];王玥元[2];张颖[1];马福堂[2];刘青[1]

第一作者：孙健豪

机构：[1]甘肃中医药大学第一临床医学院;[2]甘肃省妇幼保健院

第一机构：甘肃中医药大学临床医学院

年份：2022

卷号：49

期号：1

起止页码：49

中文期刊名：国际妇产科学杂志

外文期刊名：Journal of International Obstetrics and Gynecology

收录：CSTPCD

语种：中文

中文关键词：平滑肌肉瘤;子宫肿瘤;腹腔镜检查;肌瘤分碎器;肿瘤播散

外文关键词：Leiomyosarcoma;Uterine neoplasms;Laparoscopy;Fibroid morcellator;Tumor spread

摘要：子宫平滑肌瘤与早期子宫平滑肌肉瘤在临床表现及辅助检查方面很难鉴别,由于无瘤观念缺乏,在无保护措施下使用肌瘤分碎器,会增加子宫平滑肌肉瘤腹腔内播散的风险,并导致较差的预后。回顾性分析甘肃省妇幼保健院收治的1例患者腹腔镜下经分碎器行次全子宫切除术后出现腹胀,考虑为子宫平滑肌肉瘤盆腹腔广泛播散,行肿瘤细胞减灭术后辅助化疗的诊治经过。并对相关文献进行复习,从而充分认识无保护措施下腹腔镜肌瘤分碎的风险。
It is difficult to distinguish uterine leiomyoma from early leiomyosarcoma in terms of clinical manifestations and ancillary examinations.Due to the lack of tumor-free concept,the use of fibroid breakers without protective measures will increase the risk of intrapulmonary spread of leiomyosarcoma in the womb and results in a poor prognosis.The diagnosis and treatment of a case of abdominal distension after laparoscopic subtotal hysterectomy with a splitter in Gansu Provincial Maternity and Child-Care Hospital was retrospectively analyzed.It was considered that uterine leiomyosarcoma was widely spread in the pelvic and abdominal cavity,and the diagnosis and treatment of adjuvant chemotherapy after tumor cytoreduction was performed.And the relevant literature was reviewed,so as to fully understand the risk of laparoscopy myoma fragmentation without protective measures.