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首页> 外文期刊>Journal of Mid-Life Health >Angioleiomyoma of uterus masquerading as malignant ovarian tumor
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Angioleiomyoma of uterus masquerading as malignant ovarian tumor

机译：伪装成卵巢恶性肿瘤的子宫血管平滑肌瘤

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Uterine angioleiomyoma is rare. A 40-year-old nulliparous woman presented with heavy menstrual bleeding (HMB) for the past 2 years and mass per abdomen with severe dysmenorrhea for three cycles. She had received 8 units of packed cell transfusion outside. Clinical examination revealed a huge 32-week-sized abdominopelvic mass with irregular margins. Ultrasonography (USG) of the abdomen and pelvis showed a large solid cystic mass on the right side of the abdomen with a well-defined hypoechoeic rounded lesion of size 5.7 cm × 5.0 cm, in the right lobe of the liver, with ovaries not being imaged separately. On color Doppler USG, there was moderate vascularity throughout. A provisional diagnosis of malignant ovarian tumor with hepatic metastasis was made. Her hemoglobin was 5.7 g/dl, and she had repeated episodes of HMB upon admission. She was transfused with 5 units of packed cells. Computed tomography (CT) showed a large fundal subserosal uterine fibroid on the right side, with a solid ovarian tumor measuring 5.0 cm × 4.5 cm on the left side, with ascitis, right-sided hydronephrosis, and a well-defined hypoechoeic lesion in the right lobe of the liver, suggestive of hepatic hemangioma. Tumor markers were within normal limits. In view of discrepancy in clinical findings, ultrasound, and CT report, CT-guided biopsy of the huge mass was done which revealed leiomyoma, with no evidence of mitosis, pleomorphism, or malignancy. Laparotomy with total abdominal hysterectomy and bilateral salpingo-oophorectomy was done. Histopathology revealed an angioleiomyoma uterus. At 1-year follow-up, she was asymptomatic, and the liver mass was stable.
机译：子宫血管平滑肌瘤很少见。一名40岁的未产妇，过去2年出现严重月经出血（HMB），每个腹部肿块伴严重痛经3个周期。她已经在外面接受了8个单位的包装细胞输血。临床检查发现巨大的32周大小的腹盆腔肿块，边缘不规则。腹部和骨盆的超声检查（USG）显示在腹部右侧有一个巨大的实性囊性肿块，在肝脏的右叶有一个大小为5.7 cm×5.0 cm的明确的足道流脓性圆形病变，没有卵巢分别成像。在彩色多普勒超声心动图上，整个血管均中等。初步诊断为具有肝转移的恶性卵巢肿瘤。她的血红蛋白为5.7 g / dl，入院后反复发作HMB。给她输了5个装满细胞的单元格。计算机断层扫描（CT）显示右侧大的浆膜下子宫肌瘤，左侧为大小为5.0 cm×4.5 cm的实性卵巢肿瘤，伴有腹膜炎，右侧肾积水，以及明确的足底低渗性病变肝右叶，提示肝血管瘤。肿瘤标志物在正常范围内。鉴于临床发现，超声检查和CT报告存在差异，对CT进行的巨大肿物活检显示为平滑肌瘤，没有丝裂，多形性或恶性的迹象。进行了全腹子宫切除术和双侧输卵管卵巢切除术的剖腹手术。组织病理学显示子宫血管平滑肌瘤。在1年的随访中，她没有症状，肝脏质量稳定。

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