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首页> 外文期刊>The Egyptian Journal of Radiology and Nuclear Medicine >A giant uterine myometrium cyst mimicking an ovarian cyst in pregnancy: An uncommon presentation of hydropic degeneration of uterine fibroid
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A giant uterine myometrium cyst mimicking an ovarian cyst in pregnancy: An uncommon presentation of hydropic degeneration of uterine fibroid

机译：妊娠期模仿卵巢卵巢囊肿的巨大子宫子宫肌层囊肿：子宫肌瘤水样变性的罕见表现

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摘要

Myometrial cysts of the uterus are extremely rare. Uterine leiomyomas commonly undergo degenerative changes, which can lead to variable imaging features. Diffuse hydropic change is an unusual form that presents a considerable diagnostic challenge to both radiologists and pathologists. A 27-year old nulliparous patient admitted to our hospital for antenatal care and left sided pelvic pain. Transvaginal ultrasonographic examination revealed a 20 cm intramural cystic lesion in the left region of the corpus uteri suspicious of degenerated myoma. Repeated aspiration was done. Spontaneous abortion occurred in the first trimester. Rapid distension of the abdomen despite repeated aspirations occurred. MRI revealed degenerated myoma. Ultrasound performed one day before surgery revealed a turbid content instead of the clear fluid. Laparotomy was performed revealing a huge interstitial myoma with bloody collection inside so, myomectomy was performed. Histopathology showed hydropic degenerated myoma. Although fibroids usually have a characteristic sonographic appearance, degenerating myomas have variable patterns and can pose a diagnostic dilemma. Extensive cystic degeneration can mimic an ovarian tumour.
机译：子宫肌层囊肿极为罕见。子宫平滑肌瘤通常会发生变性变化，这可能导致可变的成像特征。弥漫性水印改变是一种不寻常的形式，对放射科医生和病理学家都提出了巨大的诊断挑战。一名27岁的未产妇患者进入我院接受产前检查和左侧骨盆疼痛。经阴道超声检查发现可疑变性肌瘤的子宫体左侧区域有20 cm壁内囊性病变。重复抽吸。自然流产发生在头三个月。尽管反复抽吸，腹部仍迅速扩张。 MRI显示变性肌瘤。手术前一天进行的超声检查显示内容物浑浊而不是透明液体。进行剖腹探查发现巨大的间质性肌瘤内部有血迹，因此进行了子宫肌瘤切除术。组织病理学显示水样变性肌瘤。尽管肌瘤通常具有特征性的超声表现，但是退化性肌瘤具有可变的模式，并可能造成诊断上的困境。广泛的囊性变性可以模仿卵巢肿瘤。

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