| 摘要: |
| 低级别子宫内膜间质肉瘤（LG-ESS）因其缺乏典型临床表现及影像特征，术前诊断困难，易误诊为子宫其他
类型的良恶性病变。该文报道 1 例术前考虑为腹膜播散性平滑肌瘤病伴静脉内平滑肌瘤，术后病理诊断为LG-ESS盆腔
播散伴静脉瘤栓病例，结合文献复习，讨论诊疗过程中的经验与不足，以期提高医生对该病的认识，减少漏诊、误诊。 |
| 关键词: 低级别子宫内膜间质肉瘤 子宫内膜间质肿瘤 免疫组化 治疗 |
| DOI： |
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| 基金项目:广东省基础与应用基础研究基金省企联合基金项目（重点项目）（2023B1515230010） |
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| low-grade endometrial stromal sarcoma; endometrial stromal tumors; immunohistochemistry; treatment |
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| () |
| Abstract: |
| Abstract: Low-grade endometrial stromal sarcoma (LG-ESS) is difficult to diagnose preoperatively due to its lack of
typical clinical manifestations and imaging features, and is easily misdiagnosed as other types of benign or malignant lesions
of the uterus. This paper presents a case of peritoneal disseminated leiomyomatosis with intravenously leiomyoma, and
postoperative pathological diagnosis of LG-ESS pelvic spread with venous tumor embolus. Following a review of the literature,
the experience and deficiencies in diagnosis and treatment were discussed in order to improve doctors’ understanding of the
disease and reduce missed diagnosis and misdiagnosis. |
| Key words: A case of LG-ESS with pelvic dissemination and venous tumor thrombus |