泌尿生殖系平滑肌肿瘤15例临床分析

Clinical report of 15 cases of urinogenital leiomyoma

目的 :探讨泌尿生殖系平滑肌肿瘤临床表现 ,提高对其诊治水平。方法 :对 15例泌尿生殖系平滑肌肿瘤的临床资料进行回顾性分析 ,其中平滑肌瘤 13例 ,平滑肌肉瘤 1例 ,混合性平滑肌瘤 1例 (并发移行细胞癌 ) ,分别位于肾、输尿管、膀胱、尿道、附睾。肿瘤均手术切除 ,并经病理检查证实。结果 :15例均获随访 ,13例平滑肌瘤术后无复发 ,1例平滑肌肉瘤术后 16年无瘤生存 ,1例混合性平滑肌瘤至截稿时为术后 2个月。结论 :泌尿生殖系平滑肌肿瘤发生率低 ,以附睾多发 ,缺少临床特征 ,术前确诊困难 ,主要靠病理检查确诊。

Purpose:To discuss the clinical manifestation and to improve the diagnostic-and-therapeutic level of urinogenital leiomyoma.Method:To analyse 15 cases of urinogenital leiomyoma pathologically diagnosed which were situated differently in kidney, ureter,bladder,urethra and epididymis.Of them 13 were leiomyoma, 1 leiomyosarcoma and 1 leiomyoma mixed with transitional cell carcinoma.Result:all the 15 cases were followed up. All the cases have survived without tumor relapse up to now.Conclusion:Urinogenital leiomyoma have a low mobidity and were much common situated in epididymis. They have no typical manifestation and are diagnosed mainly by pathology, so it is difficult to diagnose correctly in advance of excision. The best way to manage is the excision of the tumor.