关键词: Benign DPL Peritoneal leiomyomatosis Smooth muscle

来  源:   DOI:10.1016/j.radcr.2023.03.022   PDF(Pubmed)

Abstract:
Disseminated peritoneal leiomyomatosis (DPL) or leiomyomatosis peritonealis disseminata is a sporadic benign disease characterized by several solid peritoneal smooth muscle nodules that proliferate along the abdominopelvic cavity. The source of the condition is undetermined, although suspected causes include iatrogenic and hormonal stimulation. It primarily affects women of reproductive age. Imaging investigations are important in determining the extent of lesions and the presence of malignancy. There are no conventional therapeutic guidelines for the therapy of DPL, hence the risk of malignant transformation is low. We discuss the case of a 41-year-old woman who had a previous laparoscopic hysterectomy and presented 4 years later with numerous peritoneal tumors the diagnosis of DPL was suspected by computed tomography and magnetic resonance imaging, and confirmed by histology.
摘要:
播散性腹膜平滑肌瘤病(DPL)或腹膜平滑肌瘤病是一种散发性良性疾病,其特征是多个实性腹膜平滑肌结节沿腹肾盂腔增生。条件的来源是不确定的,尽管可疑原因包括医源性和激素刺激。它主要影响育龄妇女。影像学检查对于确定病变程度和恶性肿瘤的存在很重要。对于DPL的治疗没有常规的治疗指南,因此,恶性转化的风险很低。我们讨论了一名41岁的女性,该女性先前进行了腹腔镜子宫切除术,并在4年后出现了许多腹膜肿瘤,计算机断层扫描和磁共振成像怀疑DPL的诊断。并通过组织学证实。
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