子宫腺瘤样瘤误诊为子宫肌瘤二例临床分析

Clinical Analysis of 2 Patients with Uterine Adenomatoid Tumor Misdiagnosed as Hysteromyoma

目的探讨子宫腺瘤样瘤的临床特点及误诊原因、防范措施。方法对曾误诊为子宫肌瘤的子宫腺瘤样瘤2例的临床资料进行回顾性分析。结果本文2例分别因发现盆腔包块1月余及无明显诱因突发下腹部疼痛4 d入院,行子宫及双侧附件彩色多普勒超声等检查诊断子宫肌瘤1例、卵巢黄体破裂并子宫肌瘤1例,皆行手术切除病灶,均经术后病理检查确诊为子宫腺瘤样瘤,术后均病情好转出院,随访3个月和1年均未出现复发等情况。结论子宫腺瘤样瘤发病率低且缺乏特异性临床及超声表现,易漏误诊。临床医生应提高对子宫腺瘤样瘤的警惕性,加强对该病临床表现及影像学检查结果的认识和了解,以减少或避免其误诊,改善患者预后。

Objective To investigate clinical characteristics,misdiagnosed causes and prevention methods of uterineadenomatoid tumor. Methods Clinical data of 2 patients with uterine adenomatoid tumor misdiagnosed as having hysteromyoma was retrospectively analyzed. Results The 2 patients were admitted for pelvic mass for more than 1 month and no obviouscause of sudden abdominal pain for 4 d respectively. After examinations such as color Doppler ultrasound for uterus and bilateral adnexauteri,1 patient was diagnosed as having hysteromyoma,and the other one was diagnosed as having corpus luteumof ovary rupture combined with hysteromyoma. The lesions were cut by surgical resection,and the diagnosis of uterine adenomatoid tumor was given by postoperative results of frozen pathology. All patients were discharged after postoperative conditionswere improved. No recurrence was found during the 3 months and 1 year of followup. Conclusion Incidence rate of uterineadenomatoid tumor is low,and it is lack of clinical and ultrasonic features,and easily be missed diagnosis or misdiagnosed.Clinicians should strengthen vigilance about uterine adenomatoid tumor,improve the understanding of clinical manifestationsand imaging findings in order to reduce misdiagnosed rate and improve the prognosis of the patients.