PDF(Pubmed)
Abstract：
UNASSIGNED: Uterine leiomyomas are benign tumors characterized by pelvic pain and abnormal bleeding. Their evolution can lead to degenerative changes, occasionally mimicking malignancies on imaging, presenting diagnostic challenges.
UNASSIGNED: A 31-year-old nulliparous woman presented with symptoms of bloating, cramping, and abdominal distension. Imaging suggested an advanced ovarian malignancy, showing a complex adnexal mass and elevated CA-125 levels. During exploratory laparotomy, what was suspected to be ovarian cancer was instead identified as a large uterine mass on pathologic evaluation revealing a benign leiomyoma with extensive hydropic change.
UNASSIGNED: This case highlights the diagnostic intricacies associated with large complex adnexal masses and illustrates how benign conditions like leiomyomas with hydropic degeneration can mimic ovarian cancer. This emphasizes the importance of comprehensive preoperative and intraoperative assessments to tailor management and avoid unindicated radical procedures.
UNASSIGNED: A 31-year-old nulliparous woman presented with symptoms of bloating, cramping, and abdominal distension. Imaging suggested an advanced ovarian malignancy, showing a complex adnexal mass and elevated CA-125 levels. During exploratory laparotomy, what was suspected to be ovarian cancer was instead identified as a large uterine mass on pathologic evaluation revealing a benign leiomyoma with extensive hydropic change.
UNASSIGNED: This case highlights the diagnostic intricacies associated with large complex adnexal masses and illustrates how benign conditions like leiomyomas with hydropic degeneration can mimic ovarian cancer. This emphasizes the importance of comprehensive preoperative and intraoperative assessments to tailor management and avoid unindicated radical procedures.
摘要：
■子宫平滑肌瘤是以盆腔疼痛和异常出血为特征的良性肿瘤。它们的进化会导致退行性变化，偶尔在成像上模仿恶性肿瘤，提出诊断挑战。
一名31岁的未产妇女出现腹胀症状，抽筋,和腹胀.影像学显示卵巢恶性肿瘤晚期,显示复杂的附件质量和升高的CA-125水平。在剖腹探查术中,而被怀疑为卵巢癌的患者在病理评估中被确定为子宫大肿块,显示良性平滑肌瘤伴广泛积水改变.
■该病例突出了与大型复杂附件肿块相关的诊断复杂性，并说明了平滑肌瘤伴水肿变性等良性疾病如何模仿卵巢癌。这强调了全面的术前和术中评估的重要性，以定制管理并避免未指明的根治性手术。
一名31岁的未产妇女出现腹胀症状，抽筋,和腹胀.影像学显示卵巢恶性肿瘤晚期,显示复杂的附件质量和升高的CA-125水平。在剖腹探查术中,而被怀疑为卵巢癌的患者在病理评估中被确定为子宫大肿块,显示良性平滑肌瘤伴广泛积水改变.
■该病例突出了与大型复杂附件肿块相关的诊断复杂性，并说明了平滑肌瘤伴水肿变性等良性疾病如何模仿卵巢癌。这强调了全面的术前和术中评估的重要性，以定制管理并避免未指明的根治性手术。
