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題 名 | A Huge 6.2 Kilogram Uterine Myoma Coinciding with Omental Leiomyosarcoma: Case Report=一個6.2公斤巨大子宮肌瘤合併網膜惡性平滑肌肉瘤:病例報告 |
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作 者 | 阮志偉; 李奇龍; 顏志峰; 王錦榮; 宋永魁; | 書刊名 | 長庚醫學 |
卷 期 | 22:4 1999.12[民88.12] |
頁 次 | 頁639-642 |
分類號 | 417.281 |
關鍵詞 | 子宮肌瘤; 網膜; 惡性平滑肌肉瘤; Uterine myoma; Omentum; Leiomyosarcoma; |
語 文 | 英文(English) |
中文摘要 | 腹部巨大腫瘤之手術是有趣及富挑戰性的。我們提出一個6.2公斤重的多樣性子 宮肌瘤併網膜惡性平滑肌肉瘤。就我們所知,它是英語文獻中的第一個病例報告。一位44 歲未產婦經常感覺下腹痛很久。理學檢查發現可觸診到腹部一大腫瘤。電腦斷層掃描顯示一 個巨大腹部骨盆腫瘤疑腫瘤侵犯到小腸。在子宮全切除手術中偶然發現一個6公分網膜腫 瘤。在剝離沾粘時發生膀胱破損。手術步驟包括切除網膜腫瘤、切除被侵犯的小腸、修補膀 胱以及子言全切除。病理報告為子宮平滑肌瘤併網膜惡性平滑肌肉瘤。病人於手術後第14 天返家並於術後第18個月時追蹤時仍然健康。對於此類腫瘤之挑戰,在於正確的診斷及適當 的手術治療。本例需更多的病例報告資料及長期追蹤檢查,才能確立治療的效益。 |
英文摘要 | Surgery for massive abdominal tumors is both interesting and challenging. We present a case involving a multiple uterine myoma weighing 6.2 Kg which coincided with omental leiomyosarcoma. To our knowledge, this is the first report of this type of condition in the English literature. A 44-year-old nulliparous woman had suffered from abdominal pain for a long time. A huge abdominal mass was palpated on physical examination. Computed tomography scanning revealed a huge pelvic-abdominal mass with the possibility of small bowel loops invaded by the mass. A 6-cm omental mass was incidentally found during the subsequent hysterectomy procedure. Perforation of the urinary bladder occurred during the dissection of adhesion. Resection of the omental mass, wide wedge resection of the invaded small bowel, primary repair of the bladder, and hysterectomy were performed. The final pathologic diagnosis was uterine leiomyomata with omental leiomyosarcoma. The patient returned home on postoperative day 14 and was well at the 18-month follow-up examination. The challenge of these tumors lies in their proper diagnosis and surgical management. More case reports and follow-up studies are needed to confirm the efficacy of their management. |
本系統中英文摘要資訊取自各篇刊載內容。