警惕子宫外子宫内膜间质肉瘤

Special Need for Vigilance for Extrauterine Endometrial Stromal Sarcoma

目的探讨子宫外子宫内膜间质肉瘤的临床特征。方法回顾性分析我院收治的1例子宫外子宫内膜间质肉瘤的临床资料。结果本例因下腹部疼痛1年,发现腹部包块3个月入院。后完善相关检查,同时结合外院检查结果,初步诊断为盆腹腔肿物,行剖腹探查术,术后请北京某医院会诊,病理报告示:低度恶性子宫外子宫内膜间质肉瘤伴平滑肌分化,行卵巢功能去势治疗。随访10个月,患者一般情况尚可,病情未复发,无远处转移。结论子宫外子宫内膜间质肉瘤临床少见,提高对疾病的认识、及时行病理检查可减少误诊误治。

Objective To investigate clinical features of extrauterine endometrial stromal sarcoma（ ESS）.Methods The clinical data of 1 ESS patient who was admitted and treated in our hospital were retrospectively analyzed. Results The patient presented to our hospital because of hypogastralgia for 1 year as well as abdomen mass for 3 months. After admission,based on perfected relevant medical examinations and the results of the examinations of other hospitals,the pelvic and abdominal mass was confirmed. After laparotomy and consultation of doctors in a superior hospital in Beijing,the pathology report showed low-grade extrauterine ESS with smooth muscle differentiation. The patient underwent surgical castration of ovaries. At 10-month follow-up after surgery,the patient reported no recurrence nor distant metastasis. Conclusion Extrauterine ESS is an rare neoplasm in clinical practice. Thus,heightened awareness of the disease and timely pathological examination help to avoid misdiagnosis and mistreatment.