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首页> 外文期刊>Taiwanese journal of obstetrics and gynecology >Recurrent Uterine Leiomyosarcoma Implantedin a Laparotomy Scar
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Recurrent Uterine Leiomyosarcoma Implantedin a Laparotomy Scar

机译：复发性子宫平滑肌肉瘤植入剖腹手术疤痕中

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Uterine leiomyosarcoma, one of the most malignant groups of uterine tumors, constitutes 0.1-2% of all uterine malignancies. The pattern of tumor spread is commonly to the liver or lung via the blood stream. The treatment of most patients with stage I and II uterine leiomyosarcomas should include at least total hysterectomy and bilateral salpingo-oophorectomy. There is no firm evidence that adjuvant chemotherapy or radiation therapy is beneficial for these patients. However, recurrences develop in more than half of the cases of uterine leiomyosarcoma, even when the disease is apparently localized at the time of treatment.The most common sites of recurrence are the abdomen and lungs, and less than 10% of cases showed recurrence in the pelvic cavity. However, recurrences in the laparotomy wound are extremely rare and, to our knowledge, only one case has been previously reported [1]. It is still not known how neoplastic cells can implant and grow in an abdominal scar without other concomitant metastases.
机译：子宫平滑肌肉瘤是子宫肿瘤中最恶性的一种，占所有子宫恶性肿瘤的0.1-2％。肿瘤扩散的模式通常是通过血流到达肝脏或肺部。大多数Ⅰ，Ⅱ期子宫平滑肌肉瘤患者的治疗至少应包括全子宫切除术和双侧输卵管卵巢切除术。没有确凿的证据表明辅助化疗或放疗对这些患者有益。然而，即使在治疗时疾病明显局限于子宫平滑肌肉瘤，也有超过一半的病例复发。最常见的复发部位是腹部和肺部，只有不到10％的病例复发骨盆腔。但是，剖腹手术伤口的复发极少发生，据我们所知，以前仅报道过一例[1]。尚不知道肿瘤细胞如何能在没有其他伴随转移的情况下植入并生长在腹部瘢痕中。

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