腹壁子宫外腺肌瘤22例报告

R. Sampaio, J. Garcia, C. Macedo, J. Vizcaíno
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引用次数: 5

摘要

子宫腺肌瘤是一种结节状肿瘤样肿块,由良性子宫内膜腺、子宫内膜样基质和平滑肌组织组成。子宫外腺肌瘤是一种极为罕见的肿瘤。所描述的大多数病例来自卵巢,位于骨盆。我们提出一个病例70岁的妇女与临床和放射怀疑播散性恶性肿瘤。出于可及性的原因,对腹壁ct扫描发现的一个5cm的较大结节进行了活检。活检的形态学和免疫组织化学特征使我们提出子宫外腺肌瘤的诊断。本文报告第22例子宫外腺肌瘤,这是一种罕见且不甚了解的肿瘤,在影像学和临床上与转移性肿瘤难以区分。
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A 22nd case report of extrauterine adenomyoma of the abdominal wall
An adenomyoma of the uterus is a nodular tumor-like mass of benign endometrial glands, endometrioid stroma and smooth muscle tissue. Extra-uterine adenomyoma is an extremely rare tumor. The majority of the cases described was from ovary and located in the pelvis. We present a case of a 70 years old woman with clinical and radiological suspicious of disseminated malignancy. In the abdominal wall, a 5-cm nodule of larger dimension detected by computed tomography-scan was biopsied for accessibility reasons. The morphological and immunohistochemical features of the biopsy led us to propose the diagnosis of an extrauterine adenomyoma. This article reports the 22nd case of extrauterine adenomyoma, a rare and poorly understood tumor that could be imagiologically and clinically indistinguishable from a metastasis.
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