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奇异(怪)型平滑肌瘤(Bizarre leiomyoma)是一种特殊组织类型的平滑肌癌。临床表现为良性。近年来Christopheson等随访一组病人,平均随访11年2个月,无一复发。本例患者术后年余健在。一、临床资料患者,女,49岁,已婚,农民。月经量增多半年,近二月来自觉下腹部胀,并发现腹部一包块,拳头大小,触之不痛。月经19(3—4/29—30),量中等,无痛经,色红。生产史5—1—0—4,最小的17岁。体检:发育正常,营养中等,轻度贫血,浅表淋巴结不肿大,心肺(-)。妇科检查:外阴已婚经产式,阴道光滑通畅,宫颈口闭,中度糜烂,宫体前位增大约妊娠三个半月大小,活动良好。宫后壁偏右有一鸡蛋大囊性感的包块。手术所见:子宫增大如妊娠三个半月大小,质软,表面光滑与周围无粘连。右侧卵巢增大。
Strange (Bizarre) leiomyoma (Bizarre leiomyoma) is a special tissue type of smooth muscle cancer. The clinical manifestation is benign. In recent years, Christopheson et al. followed up one group of patients and followed up for an average of 11 years and 2 months without any recurrence. This patient was alive for more than one year after surgery. I. Clinical data Patients, female, 49 years old, married, farmer. The amount of menstruation increased for half a year, and in February it came from feeling abdominal distension. It was found that there was a mass in the abdomen and the size of the fist was not painful. Menstrual 19 (3 - 4/29 - 30), medium in volume, no dysmenorrhea, color red. History of production 5-1 - 0-4, the youngest 17 years old. Physical examination: normal development, moderate nutrition, mild anemia, superficial lymph node enlargement, heart and lung (-). Gynecological examination: the vulva is married by the production type, smooth vaginal smooth, closed cervix, moderate erosion, the front part of the palace increased approximately three and a half months of pregnancy size, activities are good. Right behind the palace, there is a large mass of sexy chicken eggs. Surgical findings: The uterus grows in size, such as three and a half months of pregnancy, and is soft, smooth, and has no adhesion around it. The right ovary increases.