巨大阔韧带肌瘤伴囊性变1例并文献复习

Giant Broad Ligament Myoma with Cystic Transformation: A Case Report and Literature Review

摘要: 目的：该文旨在探讨阔韧带肌瘤的临床表现、鉴别诊断及诊治要点。方法：对青岛大学附属医院妇科收治的1例巨大阔韧带肌瘤伴囊性变的患者进行回顾性分析并复习相关文献。结果：阔韧带肌瘤是子宫肌瘤的一种特殊类型，其发病率较低，巨大的阔韧带肌瘤更为少见；合并肌瘤变性时，容易误诊及漏诊，但最终确诊要依靠手术探查及石蜡病理。结论：巨大阔韧带肌瘤伴囊性变缺乏特异性临床表现，MRI对其鉴别诊断有重要意义，当肌瘤增长较快、体积较大且血供不足时易发生变性；手术为首选治疗方法。

Abstract: Objective: To investigate the clinical manifestations, differential diagnosis and treatment of broad ligament fibroids. Methods: A case of broad ligament fibroid of huge size with cystic hydropic degeneration admitted to the Affiliated Hospital of Qingdao University was retrospectively analyzed and relevant literatures were reviewed. Results: Broad ligament fibroids are a special type of uterine fibroids with low incidence, and giant broad ligament fibroids are rarer. When broad ligament fibroids degenerate, it is easy to form a wrong diagnosis or missed diagnosis, but the final diagnosis depends on surgical exploration and paraffin pathology. Conclusion: Broad ligament fibroids of huge size with cystic degeneration lack specific clinical manifestations. MRI is of great significance in the differential diagnosis of giant broad ligament fibroids. It is easy to degenerate when the fibroids grow rapidly and have insufficient blood supply. Surgery is the preferred treatment.