背景:在女性生殖道恶性肿瘤的背景下,子宫肉瘤被认为是最罕见的疾病。尽管低度子宫内膜肉瘤具有惰性,他们必须按时被精心诊断,对疾病的严重程度和分期进行精确分级,进一步指导治疗方式和预后。
方法:一位已婚亚裔女性,没有明显的既往病史和手术史,主诉腹胀和不适,本质上是进步的,对其进行了放射学评估,显示了暗示子宫内膜肉瘤的特征。经腹子宫全切术和全子宫切除术,无任何围手术期并发症。组织学进一步证实了诊断。术后,病人住院时间不明显,出院回家。
结论:子宫内膜间质肉瘤是一种罕见的恶性实体,通常出现在成年女性晚期。但有时它也可以在更早的年龄出现。女性腹部肿块,虽然通常被认为是良性的,有时可能与恶性图片有关。低度子宫内膜肉瘤可以掩盖其他轻微的良性病例,比如平滑肌瘤.尽管这种恶性疾病很少见,诊断和管理相当简单,术后患者预后被发现是有益的。
结论:在子宫肉瘤病例中,子宫内膜肉瘤是发病率最低的恶性疾病。与其他恶性疾病相比,这些患者出现轻微的症状,如不适,这可能不被检查。应注意的主要因素是及时诊断和适当选择治疗方式。总的来说,尽管有一分钟的流行和困难的诊断,患者的预后相当好。
BACKGROUND: In the context of female genital tract malignancy, uterine sarcoma is considered the rarest form of the disease. Despite the inert nature of low-grade endometrial sarcoma, they must be meticulously diagnosed on time, with an exact grading of the severity and staging of the disease, which further guides the treatment modality and prognosis.
METHODS: A married Asian female without any significant past medical and surgical history complained of abdominal distension and discomfort, which was progressive in nature, for which a radiological assessment was made that showed features suggestive of endometrial sarcoma. Total abdominal hysterectomy with sapingoopherectomy was done without any perioperative complications. Histology further confirmed the diagnosis. Post-operatively, the patient had an unremarkable hospital stay and was discharged home.
CONCLUSIONS: Endometrial stromal sarcoma is one of the rare malignant entities presenting usually in late adult females, but sometimes it can present at an earlier age as well. Abdominal masses in females, although usually overlooked as benign, can sometimes be associated with a malignant picture. Low-grade endometrial sarcomas have been seen to masquerade other minor benign cases, such as leiomyoma. Despite the rarity of such malignant conditions, diagnosis and management are rather straightforward, and post-operative patient prognosis has been found to be rewarding.
CONCLUSIONS: Among the uterine sarcoma cases, endometrial sarcoma comes under the malignant disease of the least occurrence. Compared to other malignant conditions, these patients present with minor symptoms like discomfort, which may go unchecked. The major factor that should be noted is the on-time diagnosis and appropriate choice of treatment modality. Overall, despite a minute prevalence and difficult diagnosis, the prognosis of the patient is rather good.