现代妇产科进展Issue(4)：262-265,4.DOI:10.13283/j.cnki.xdfckjz.2015.04.006
子宫静脉内平滑肌瘤病64例临床病理分析
Clinicopathological characteristics analysis of 64 cases of uterine intravenous leiomyoma-tosis
范灵玲 1朱瑾 1陶祥 2徐丛剑1
作者信息
- 1. 复旦大学附属妇产科医院 妇产科，上海 200011
- 2. 复旦大学附属妇产科医院 病理科，上海 200011
- 折叠
摘要
Abstract
Objective:To analyze the clinical and pathological features of uterine intra-venous leiomyomatosis ( IVL) and to evaluate its diagnostic and therapeutic strategies. Meth-ods:Sixty-four patients of IVL were enrolled in this retrospective analysis during the period of July 2007 to June 2013 in Obstetrics and Gynecology Hospital of Fudan University. Results:Symptoms of IVL were usually nonspecific or similar to those usual counterparts. Most patients experienced hypermenorrhea,abdominal pain or distension,pelvic mass,and secondary anemia. Only 3 cases were diagnosed preoperatively by ultrasound. Majority cases could be diagnosed during surgery by frozen section. Neoplasm occurred in the corpus (73. 4%),broad ligament (18. 8%) and uterus isthmus (7. 8%). Myomectomy (4. 7%),hysterectomy (39. 1%) and hysterectomy with bilateral salpingo-oophorectomy (56. 2%) were performed for treatment. Fol-low-up information was available for 50 patients, with a median follow-up duration of 28 months. Only one case recurred after myomectomy and then hysterectomy was launched,without sign of relapse until the last follow-up. Conclusions:Diagnosis of IVL is difficult. Surgery is the main treatment method. It is important to adequately examine the leiomyoma and its surrounding intraoperatively. A satisfactory therapeutic effect can be achieved by selecting the appropriate extent of surgery. Long-term follow-up of IVL patients after operation is important.关键词
静脉内平滑肌瘤病/子宫肌瘤/子宫/临床-病理分析Key words
Intravenous leiomyomatosis/Leiomyoma/Uterus/Clinicopathological analysis分类
医药卫生引用本文复制引用
范灵玲,朱瑾,陶祥,徐丛剑..子宫静脉内平滑肌瘤病64例临床病理分析[J].现代妇产科进展,2015,(4):262-265,4.
