文章摘要
王雪芬,芦小珊,王海琳.输卵管妊娠合并子宫血管周上皮样细胞肿瘤 1例[J].安徽医药,2023,27(6):1204-1207.
输卵管妊娠合并子宫血管周上皮样细胞肿瘤 1例
One case of tubal pregnancy complicated with uterine perivascular epithelioid cell tumor
  
DOI:10.3969/j.issn.1009-6469.2023.06.033
中文关键词: 子宫肿瘤  血管周上皮样细胞肿瘤  波形蛋白  免疫组织化学  妊娠,输卵管
英文关键词: Uterine neoplasms  Perivascular epithelioid neoplasms  Vimentin  Immunohistochemical  Pregnancy, tubal
基金项目:甘肃省自然科学基金( 20JR5RA151)
作者单位E-mail
王雪芬 兰州大学第一临床医学院甘肃兰州 730000  
芦小珊 兰州大学第一临床医学院甘肃兰州 730000  
王海琳 兰州大学第一临床医学院甘肃兰州 730000
甘肃省人民医院妇科甘肃兰州 730000 
wanghailinyx@163.com 
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中文摘要:
      目的总结 1例无症状子宫血管周上皮样细胞肿瘤( PEComa)的相关诊疗要点。方法回顾性分析 2017年 12月甘肃省人民医院妇科收治的 1例输卵管妊娠合并子宫 PEComa病人的临床资料,并复习国内外相关文献。结果该例因异位妊娠入院,经彩超检查发现合并子宫前壁肿物,入院诊断:异位妊娠;子宫平滑肌瘤。行手术治疗,术后病理结果为子宫血管周上皮样细胞肿瘤。术后未行进一步治疗,随访至今未见复发及转移,预后良好。结论子宫血管周上皮样细胞肿瘤病例少见,临床表现无特异性,影像学检查容易误诊,诊断主要依靠组织病理和免疫组织化学检查,手术是主要治疗方式,术后严密随访是关键。
英文摘要:
      Objective To summarize the related diagnosis and treatment points of an asymptomatic case of perivascular epithelioidcell tumor (PEComa) of the uterus.Methods The clinical data of 1 patient with tubal pregnancy complicated with uterine PEComa admitted to the Department of Gynecology of Gansu Provincial People′s Hospital in December 2017 were retrospectively analyzed, andrelevant domestic and foreign literature was reviewed.Results The patient was admitted to the hospital for and was found to have acombined anterior uterine wall mass on ultrasound. The admission diagnosis was ectopic pregnancy and uterine leiomyoma. The patientunderwent surgery and postoperative pathological findings of the fibroid were perivascular epithelioid tumor of the uterus. No furthertreatment was performed after the operation, and no recurrence or metastasis was found in the follow-up thus far, with a good prognosis. Conclusions Perivascular epithelioid tumors of the uterus are rare, and the clinical manifestations are nonspecific. The diagnosismainly relies on histopathological and immunohistochemical examinations.
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