国际生殖健康/计划生育杂志2025，Vol.44Issue(5)：383-387,5.DOI:10.12280/gjszjk.20250071
类似卵巢性索肿瘤的子宫肿瘤合并子宫腺肌病一例
A Case of Uterine Tumor Resembling Ovarian Sex Cord Tumor with Adenomyosis
摘要
Abstract
The uterine tumor resembling ovarian sex cord tumor(UTROSCT),as a special pathological type of primary uterine tumor,is difficult to be diagnosed early due to its extreme rarity and unspecial manifestations in clinical.We report a case of UTROSCT combined with adenomyosis.The patient was admitted to the hospital due to the discovery of uterine fibroids for more than 3 months and intermittent vaginal bleeding for 12 days.The patient was admitted the hospital with a outpatient diagnosis of uterine fibroids.After admission,the relevant auxiliary examinations were completed.Pelvic ultrasound suggested the possibility of uterine fibroids,and there was no obvious abnormalities in tumor markers.Single-port laparoscopic myomectomy and opportunistic salpingectomy were performed.During the operation,the tumor capsule was gray-white,the tumor was extremely soft,and the boundary between the tumor and the uterus was unclear.The intraoperative rapid pathological examination suggested the possibility of small-cell malignant tumor,so total hysterectomy and bilateral adnexectomy were immediately performed.Finally,the postoperative pathology report showed UTROSCT.After 4-year follow-up,the patient's condition was stable and there was no recurrence.We concluded that surgical treatment is the main treatment for UTROSCT,the prognosis is usually good,and that the possibility of recurrence and metastasis should be noted.关键词
子宫肿瘤/卵巢/子宫腺肌病/超声检查/免疫组织化学Key words
Uterine neoplasms/Ovary/Adenomyosis/Ultrasonography/Immunohistochemistry引用本文复制引用
柴玲娜,石洁,李艳丽,高晗,程诗语,欧阳夕颜..类似卵巢性索肿瘤的子宫肿瘤合并子宫腺肌病一例[J].国际生殖健康/计划生育杂志,2025,44(5):383-387,5.基金项目
2020年武汉市中青年医学骨干人才(705020207) （705020207）
