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題名 | An Unusual Paraurethral Tumor: A Vaginal Leiomyoma=罕見尿道旁腫瘤:陰道平滑肌瘤 |
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作者 | 林明鴻; 唐守宏; 莊豐賓; 李祥生; 查岱龍; 孫光煥; 于大雄; 陳宏一; 張聖原; 馬正平; 吳勝堂; | 書刊名 | 臺灣泌尿科醫學會雜誌 |
卷期 | 18:4 2007.12[民96.12] |
頁次 | 頁229-231+243 |
分類號 | 416.274 |
關鍵詞 | 食道靜脈曲彰; 體外震波碎石; 輸尿管結石; Vagina; Leiomyoma; |
語文 | 英文(English) |
中文摘要 | 陰道平滑肌瘤是平滑肌肉長出來的良性腫瘤。這種腫瘤痕相當罕見,但確定原因還不清楚。影像學表現是一個從陰道長出來的非特異性、打顯影劑會顯影、界限清楚的腫塊。臨床上不容易診斷,須靠手術後病理檢查確定診斷。我們報告一例陰道平滑肌瘤造成性交疼痛、解尿疼痛及血樣分泌物的症狀。骨盆腔電腦斷層掃描發現膀胱後側有一異質性、打顯影劑會顯影之腫塊,手術後病理報告證實是良性陰道平滑肌瘤。免疫化學染色發現動情激素受體、黃體素受體及上皮成長因子受體皆呈現陽性。 |
英文摘要 | Vaginal leiomyomas are normally benign smooth-muscle tumors of the vagina. These tumors are extremely rare, and their etiology is unknown. The imaging findings are those of a nonspecific well-defined enhanced soft-tissue mass centered on the vagina. Most leiomyomas are not diagnosed clinically but only on histological examination. We present a case of a vaginal leiomyoma arising from the paraurethral region with dyspareunia, dysuria, and bloody discharge. Pelvic computed tomography (CT) revealed a well-defined, heterogeneous soft-tissue mass over the retrovesical region with poor contrast enhancement. Histologic results of the incisional biopsy revealed a leiomyoma. A transvaginal approach with enucleation of the vaginal tumor was smoothly performed. The pathology confirmed the diagnosis of a vaginal leiomyoma. The immunobiochemical staining demonstrated it to be strongly positive for the estrogen receptor, progesterone receptor, epidermal growth factor receptor, and actin. |
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