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Masafumi Toyoshima¹, Ayako Takizawa², Chiaki Yoshikawa²

¹OB-GY, Nippon Medical School, Bunkyo-ku, Tokyo, Japan m-toyoshima@nms.ac.jp.

BMJ case reports

|January 9, 2026

概括

转移性子宫乳腺肌肉瘤 (uLMS) 很少引起小肠内. 这一案例凸显了在LMS患者患有腹部症状时诊断罕见转移部位时需要保持警的必要性.

科学领域:

在瘤学瘤学.
胃肠病学胃肠病学
病理学病理学病理学

背景情况:

子宫乳腺肌肉瘤 (uLMS) 是一种具有肺和肝转移倾向的侵袭性恶性瘤.
来自LUMS的小肠转移是不常见的,而作为并发症的肠内是非常罕见的.
患有LUMS病史的患者需要持续监测潜在的转移性疾病.

研究的目的:

报告一个由转移性子宫乳腺肌肉瘤引起的小肠内异常病例.
强调在LMS幸存者的腹部紧急情况的差异诊断中考虑罕见的转移部位的重要性.

主要方法:

一个患有LUMS病史的患者的病例报告,呈现出急性小肠阻塞.
诊断成像包括CT扫描,以评估肠道阻塞并确定一个领先点.
进行外科手术 (紧急腹腔切除术) 进行肠接和转移性乳腺神经瘤 (leiomyosarcoma) 的组织病理确认.

主要成果:

一名被诊断患有LUMS的患者在治疗后22个月内发生了肠,最初在CT上没有明显的瘤点.
紧急腹腔切除术揭示了转移性乳腺髓瘤瘤作为领先点的输入.
组织病理学证实瘤是转移性LMS.

结论:

这一案例突出显示,转移性子宫乳腺肌肉瘤可以出现在罕见的部位,如小肠,导致肠.
临床医生必须保持对转移性疾病的高度怀疑指数,即使在不寻常的位置,在患有LUMS病史且表现出急性腹部症状的患者中.
对于患有罕见转移性LMS表现的并发症的患者来说,及时诊断和手术管理至关重要.

关键词:

癌症 - - 见瘤学妇科癌症妇科癌症这种类型的肉瘤是sarcoma.

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