巨大子宫肌瘤囊性变1例并文献复习
A Case of Cystic Degeneration of Giant Uterine Fibroids and Literature Review
DOI: 10.12677/ACM.2021.114214, PDF,   
作者: 李泓璇, 夏男男, 姚 勤：青岛大学，山东 青岛
关键词: 子宫肌瘤；囊性变；治疗；Uterine Fibroids； Cystic Degeneration； Treatment
摘要: 目的：探讨子宫肌瘤的变性、临床表现及诊治要点。方法：对1例巨大子宫肌瘤囊性变的老年患者进行回顾性分析并文献复习。结果：本例患者为68岁绝经后老年女性，因其他疾病于外院检查发现盆腔肿物，我院超声及增强CT检查不能除外卵巢来源肿瘤可能，MRI可能有助于其诊断，但确诊仍然需要依靠手术探查及术后病理，最终被诊断为子宫肌瘤囊性变。结论：在以囊性为主的卵巢肿物鉴别诊断中，应考虑浆膜下巨大子宫肌瘤囊性变可能。
Abstract: Objective: To discuss the degeneration, clinical manifestations, diagnosis and treatment of uterine fibroids. Methods: A retrospective analysis of an elderly patient with cystic degeneration of giant uterine fibroids and literature review were performed. Results: This patient is a 68-year-old postmenopausal elderly woman. A pelvic mass was found in an external hospital due to other diseases. Ultrasound and enhanced pelvic CT in our hospital cannot exclude the possibility of ovarian tumors. MRI may be helpful for the diagnosis, but the diagnosis still requires surgical exploration and postoperative pathology. It was finally diagnosed as cystic degeneration of uterine fibroids. Conclusion: In the differential diagnosis of cystic ovarian masses, the possibility of cystic degeneration of giant subserous uterine fibroids should be considered.
文章引用：李泓璇, 夏男男, 姚勤. 巨大子宫肌瘤囊性变1例并文献复习[J]. 临床医学进展, 2021, 11(4): 1496-1500. https://doi.org/10.12677/ACM.2021.114214

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