摘要
目的探究子宫静脉内平滑肌瘤病的诊断及治疗方法。方法回顾性分析解放军总医院2004年1月-2010年11月收治的3例子宫静脉内平滑肌瘤病患者的临床及病理资料,并对相关文献进行复习。结果 3例中1例月经量增多,经期延长,1例有子宫肌瘤剔除手术史,术后随访发现盆腔包块;1例无临床表现,体检发现。3例术前超声检查2例提示平滑肌瘤,1例不除外恶性可能,无一确诊,均行全子宫切除术,术后病理确诊为静脉内平滑肌瘤病。1例术后5d发现瘤体残留,另2例分别随访17和34个月未发现复发。结论子宫静脉内平滑肌瘤病是具有恶性肿瘤生物学特性的良性病变,术前诊断率低,确诊主要依靠病理检查,治疗首选手术切除,术后应长期密切随诊。
Objective To study the diagnosis and treatment of intravenous leiomyomatosis（IVL）.Methods Clinical and pathologic data about 3 IVL patients admitted to Chinese PLA General Hospital from January 2004 to November 2010 were retrospectively analyzed with related literature reviewed.Results Of the 3 patients,1 had menostaxis and hypermenorrhea,1 had a history of uterus leiomyoma enucleation with a pelvic mass found during follow-up after operation,and 1 had no clinical symptoms and signs.Ultrasound showed leiomyma in 2 patients before operation and malignant tumor could not be excluded in 1 patient.IVL was not definitely established.Three patients underwent a total hysterectomy during which diagnosis of IVL was established.Residual tumor was found in the right abdominal cavity of 1 patient 5 days after operation.The other 2 patients were followed up for 17 and 34 months,respectively,after operation,during which no recurrence of the tumor was found.Conclusion IVL is a benign lesion with biological features of malignant tumors.Its diagnostic rate is low after operation and its definite diagnosis depends mainly on pathologic examination.Surgical excision is the first choice of its treatment.IVL patients should be followed up for a long time after operation.
出处
《军医进修学院学报》
CAS
2011年第8期863-865,共3页
Academic Journal of Pla Postgraduate Medical School
