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外文期刊>Acta Medica Transilvanica
>GIANT UTERINE LEIOMYOMA IN A YOUNG WOMAN AS AN ACCIDENTAL FINDING DUE TO AN ULTRASOUND FOR DIGESTIVE SYMPTOMS CAUSED BY ACUTE EXACERBATION OF CHRONIC GASTRITIS – A CASE REPORT
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GIANT UTERINE LEIOMYOMA IN A YOUNG WOMAN AS AN ACCIDENTAL FINDING DUE TO AN ULTRASOUND FOR DIGESTIVE SYMPTOMS CAUSED BY ACUTE EXACERBATION OF CHRONIC GASTRITIS – A CASE REPORT
Uterine leiomyoma is the most common benign tumour encountered in female genital pathology. It originates from the level of the smooth muscle tissue, and from the morphological point of view, the tumour is well delimited, being surrounded by a pseudocapsule. We report a case of a 46-year old woman who, following a CT scan performed for epigastric abdominal pain and nausea, showed a dense bulky tumour formation, with multiple hyperdense inclusions inside and well-defined areas of necrosis, with maximum axial diameters of 133/168/249 mm (LL / AP / CC), having as a starting point most likely the uterine upper pole. A total hysterectomy is performed, with bilateral anexectomy, and the histopathological examination describes a giant subserosal leiomyofibroma of the uterus with signs of hyaline degeneration, left hydrosalpinx with strong stasis of the left tube, follicular hemorrhagic cysts of the left ovary.
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机译：子宫平滑肌瘤是女性生殖病理学中遇到的最常见的良性肿瘤。它起源于平滑肌组织的水平，并且从形态学的角度来看，肿瘤界定齐全，被伪胶囊包围。我们举报了一个46岁女性的案例，遵循对腹部腹痛和恶心进行的CT扫描，表现出密集的肿瘤形成，内部和明确定义的坏死区域内具有多种高阵容夹杂物，具有最大轴向直径133/168/249 mm（ll / ap / cc），作为起始点最有可能是子宫上杆。进行了总子宫切除术，具有双侧的Anexectomy，并且组织病理学检查描述了子宫的巨型本质化学纤维瘤，具有透明退化的迹象，使Hydrosepinx具有强大的左管，左侧卵巢的滤窗出血囊肿。
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