盆腹腔播散性平滑肌瘤病1例

A Case of Pelvic and Peritoneal Disseminated Leiomyomatosis

摘要: 盆腹腔播散性平滑肌瘤病是子宫肌瘤的一种特殊生长方式，较罕见，病因尚未明确，临床症状不典型，常于查体时偶然发现，可通过影像学检查进行初步诊断，金标准为病理诊断，必要时通过免疫组化做鉴别诊断加以明确，治疗以手术为主，应根据患者病情制定个体化治疗方案。通过回顾性分析2021年9月份收治的1例盆腹腔播散性平滑肌瘤病患者的临床资料，探讨总结该病的发生原因、诊断、治疗及预防。

Abstract: Pelvic and peritoneal disseminated leiomyomatosis is a special growth mode of uterine leiomyoma. It is rare, the cause of which is not yet clear, and the clinical symptoms are atypical. It is often found by accident during physical examination. It can be preliminarily diagnosed by imaging examination. The gold standard is pathological diagnosis. If necessary, it can be identified by differential diagnosis through immune histochemistry. The treatment is mainly surgery. Individualized treatment plan should be formulated according to the patient’s condition. The clinical data of a patient with pelvic and peritoneal disseminated leiomyomatosis admitted in September 2021 were analyzed retrospectively, and the causes, diagnosis, treatment and prevention of the disease were discussed and summarized.