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首页> 外文期刊>European journal of gynaecological oncology >Metastatic leiomyosarcoma diagnosed after uterine artery embolization.
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Metastatic leiomyosarcoma diagnosed after uterine artery embolization.

机译：子宫动脉栓塞后诊断为转移性平滑肌肉瘤。

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摘要

Uterine artery embolization (UAE) allows treatment of recalcitrant fibroids, but does not provide a surgical specimen. In the rare instance that a uterine mass represents a uterine leiomyosarcoma (LMS), UAE may delay diagnosis. We report a case of a 45-year-old woman who underwent resection of a substernal mass five years after UAE. Pathology demonstrated LMS. She received radiation therapy to the surgical site. Upon recovery, she underwent a hysterectomy and bilateral salpingo-oophorectomy. Pathology demonstrated uterine LMS. She was managed conservatively and is without evidence of disease over two years after excision of her substernal mass. Multiple case reports have described a delay in diagnosis of uterine LMS after UAE. The current case is unique in that it the diagnosis was made based on the presence of a distant metastasis, which occurred years after UAE.
机译：子宫动脉栓塞术（UAE）可以治疗顽固性肌瘤，但不能提供手术标本。在极少数情况下，子宫肿块代表子宫平滑肌肉瘤（LMS），阿联酋可能会延迟诊断。我们报告了一例45岁的女性，该女性在阿联酋五年后接受了胸骨下块切除术。病理证实为LMS。她接受了手术部位的放射治疗。康复后，她接受了子宫切除术和双侧输卵管卵巢切除术。病理证实子宫LMS。胸骨后肿块切除后的两年内，她接受了保守治疗，无疾病迹象。多个病例报告描述了阿联酋术后子宫LMS的诊断延迟。当前病例是独特的，因为它是根据远处转移的诊断做出的，该转移发生在阿联酋之后的几年。

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