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首页> 外文期刊>Case Reports in Obstetrics and Gynecology >Unsuspected Diagnosis of Uterine Leiomyosarcoma after Laparoscopic Myomectomy in an Isolated Bag
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Unsuspected Diagnosis of Uterine Leiomyosarcoma after Laparoscopic Myomectomy in an Isolated Bag

机译：隔离袋腹腔镜子宫肌瘤切除术后子宫肌瘤肉瘤的意外诊断

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Minimally invasive techniques are generally applied for patients suspected of having benign fibroids if medical treatment is insufficient. On the other hand, sometimes some occult carcinomas of uterus like leiomyosarcomas may be reported for the patients’ applied morcellation. This condition is rare but outcomes are clinically significant. Fragmentation of occult sarcoma in the abdominal cavity without isolation bag results in widespread and poor survival. In this article, we report a case of 37-year-old woman suffering from pain due to unexpected leiomyosarcoma. Laparoscopic myomectomy was performed with power morcellation in an isolated bag. Although isolation bag is generally reported to be preventive, recurrence of sarcoma was seen at 5th month of follow-up. Even though morcellation within a bag seems to block wide spreading, dispersion of tumor cannot be stopped and more investigations have to be done.
机译：如果药物治疗不足，通常将微创技术应用于怀疑患有良性肌瘤的患者。另一方面，有时患者可能会报告某些隐匿性子宫癌，如平滑肌肉瘤。这种情况很少见，但临床意义重大。没有隔离袋的腹腔内隐匿性肉瘤的破裂会导致广泛的生存和不良的生存。在本文中，我们报告了一例37岁的妇女，因意外的平滑肌肉瘤而遭受痛苦。腹腔镜子宫肌瘤切除术在隔离袋中进行强力粉碎。尽管一般认为隔离袋是预防性的，但在随访的第5个月发现肉瘤复发。即使袋中的粉碎作用阻止了其广泛传播，也无法阻止肿瘤的扩散，必须进行更多的研究。

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