乳腺软骨肉瘤1例

患者女性，77岁。左乳腺巨大包块13年，术中见肿块位于左乳腺内，质硬，包膜完整，移动度可。周围未触及肿大淋巴结，包块附着于胸大肌上。完整切除。临床诊断：（左）乳腺肿块等查。     

近端型上皮样肉瘤一例

患者男,51岁。右会阴肿物2个多月,疼痛难忍,行走时加剧,于2005年3月入院。体检:右侧会阴部一5cm×2cm 质硬肿物,压痛,边缘清,活动,皮肤无红肿和破溃,皮温稍高,双侧腹股沟淋巴结无肿大。MRI 示皮下组织深面与右侧阴茎海绵体间包块,考虑为尿道周围腺炎性包块。术中见:皮下肿物,约5cm×5cm,包膜完整。病理检查:4cm×4cm×2cm 肿物,表面光滑,切面暗红灰白色,部分囊性变,质地中等。镜下观察:肿瘤细胞呈结节状或片状分布(图1),主要由大的上皮样细胞和横纹肌样细胞构成,核分裂象多见(>10个/10 HPF),上皮样瘤细胞胞     

左心房平滑肌肉瘤并术后6个月左上臂转移1例

患者女性,48岁,因劳累性呼吸困难1个月、夜间不能平卧、端坐呼吸半月余而入院.在我院行心脏彩超检查示:左房内见5.3 cm×3.8 cm的等回声光团,考虑为黏液瘤.术中取右心房斜切口,房间隔路径入左心房,探查见一鸡蛋大小、质韧、灰白色肿物,与左心房广泛粘连,并严重阻塞右上、下肺静脉开口,行剥离切除.     

乳腺原发性横纹肌肉瘤伴全身多处转移1例

正患者女童,12岁,因发现右侧乳腺肿块2个月余于2018年8月9日来我院就诊。乳腺彩超示:右侧乳腺腺体增厚,约6.5 cm。右侧腋窝探及多枚低回声结节,大小4.5 cm×3.8 cm。进一步乳腺穿刺病理诊断为右侧乳腺横纹肌肉瘤(rhabdomyosarcoma, RMS)。8月22日患者于我院进行全身肿瘤状态评估,胸部+上中腹部增强CT扫描示右侧乳腺巨大肿块影(图1),大小11.5 cm×7.9 cm,分叶状,密度欠均匀,边界欠清,增强后     

输尿管平滑肌肉瘤伴结石一例

患者男，６０岁。反复左腰痛３个月，自觉左上腹肿物１个月，于１９９７年８月２０日入院。体检：神清，无明显消瘦，左上腹肋缘下扪及一约６ｃｍ×６ｃｍ大小肿物，质软，饱满，有囊性感，界清，有深压痛，双肾区无叩痛。静脉肾盂造影示左输尿管中段结石，ＣＴ和Ｂ超示左...     

肺血管平滑肌肉瘤一例报告

肺平滑肌肉瘤是一种较少见的肺部原发性的恶性肿瘤,其临床表现、X线及CT表现均无特征性,我院收治1例报道如下。 一、临床资料 患者,女,34岁,两周前出现原因不明的发热,在当地医院以感冒抗炎治疗一周,效果不佳,并出现胸闷持续性发热,体温在38℃左右。自发病以来,无明显咳嗽、咳脓痰及咳血病史。     

胆囊平滑肌肉瘤1例

原发于胆囊的肉瘤十分罕见,发病率约占恶性肿瘤的1.4‰[1],而平滑肌肉瘤(PLSMG)的发病率更低。我院诊治了一例PLSMG,现报道如下。1资料与方法患者女性,69岁,因“无明显诱因右上腹疼痛6天”于2006年3月2日入院。疼痛为持续性隐痛伴恶心,厌油,纳差。无全身皮肤及巩膜黄染。Murphy征阳性。实验室检查:WBC20.61×109/L,中性粒细胞16.60×109/L,BRC4.29×1012/L,Hb129.2 g/L,PL446×109/L,总胆红素13.7μmol/L,直接胆红素6.5μmol/L,间接胆红素7.2μmol/L,白蛋白37.4 g/L,球蛋白44.6 g/L,空腹血糖7.08 mmol/L,血脂、肾功、大小便正…     

肾平滑肌肉瘤1例

肾平滑肌肉瘤１例王光义，屈传贵患者，女性，６２岁。因左腰部胀痛、阵发性刺痛半年余，于１９９５年１月２日入院。查体：体温、血压均正常，轻度贫血貌。左肾区明显压痛、叩击痛。尿蛋白（＋）、红细胞（）。Ｂ超示左肾占位性病变。术中于左肾下极见一９ｃｍ×８ｃｍ×...     

乳腺原发性血管肉瘤1例

乳腺血管肉瘤是临床罕见的一种恶性肿瘤，我院发现一例现报告如下。     

甲状腺平滑肌肉瘤1例

甲状腺平滑肌肉瘤１例１李静２林汉良患者女，７２岁，因发现左侧颈前肿块２年，近来增大明显而入院。体检：血压１４／９ｋＰａ，意识清晰，无呼吸困难与声音嘶哑，左侧颈前部可一局限性隆起，可触及一大小约３ｃｍ×２ｃｍ的肿物，质硬，表面凹凸不平，边界不清，周围皮...     

Leiomyosarcoma of the urinary bladder: a case report

A case of leiomyosarcoma of the urinary bladder occurring in a middle aged lady with immunohistochemical confirmation is presented for its rarity with emphasis on grading of smooth muscle neoplasms of the urinary bladder.     

Leiomyosarcoma of ovary--a case report

Leiomyosarcomas are rare to arise in ovary and only 23 cases have been reported so far. They are considered to arise from components supporting the vascular elements in the hilar region. We report the case of a 75 year old lady, who was treated by resection of the tumour with hysterectomy and oophorectomy for ovarian leiomyosarcoma and followed up to six months.     

Leiomyosarcoma arising from tunica vaginalis testis: a case report

Benign and malignant soft tissue tumors of the paratesticular region i.e. those arising from the testicular tunics, epididymis and spermatic cord are uncommon. Of these, leiomyosarcoma arising from the tunica vaginalis is extremely rare. On extensive computerised search, a single case has been reported till date in the literature. We hereby report one such case because of its rarity.     

Retroperitoneal ganglioneuroma with lymphnode metastasis: a case report

Ganglioneuroma is a benign, most differentiated tumor of neural crest origin. These tumors though benign, can very rarely metastasize to regional lymphnodes or to distant sites. We report a case of a 52 year old lady who presented to the surgical OPD with dyspeptic symptoms of 2 months duration. Ultrasonography and CT scan of the abdomen showed a homogenous mass in the region of the right adrenal gland, extending between the inferior vena cava and the aorta. A clinical and radiological diagnosis of an adrenal tumor was made. Microscopically, the tumor histology was that of a ganglioneuroma (schwannian stroma-dominant) mature type. The lymph node attached to the tumor showed metastasis, the metastatic foci having the same morphology as the primary tumor. The right adrenal gland was free of tumor. The case is illustrative due to its clinical presentation mimicking an adrenal incidentaloma, and a rare phenomenon of a benign tumor exhibiting completely differentiated lymph node metastasis.     

鼻腔平滑肌肉瘤1例及文献复习

目的:探讨鼻腔平滑肌肉瘤(leiomyosarcoma,LMS)的临床病理特征及鉴别诊断.方法:观察1例鼻腔原发LMS的临床表现、组织学特征和免疫组化特点,并复习相关文献.结果:患者,男,62岁,因左鼻塞流涕2月余入院,术后结果显示肿瘤由梭形细胞束组成,细胞核呈卵圆形或短梭形,两端钝圆,部分细胞核仁肥胖,胞浆嗜酸性,染色质粗糙;细胞核异型性明显,核分裂3~5个/10HPF,间质可见粘液变性,部分区域可见坏死.免疫组化显示瘤细胞SMA、Vimentin、Calponin和Desmin均(+).结论:平滑肌肉瘤是鼻及鼻窦部分少见的软组织恶性肿瘤,侵袭性较高,临床预后较差.     

Leiomyosarcoma of the mesocolon--a case report

Retroperitoneal leiomyosarcomas including those arising from the mesentery are rare. These account for 5.8% of all soft tissue sarcomas. Most of these tumors present in late life with female preponderance. Diagnosing these tumors at an early stage is difficult due to their location. Hence, most of them attain large sizes with metastases to distant sites at the time of diagnosis. We report a case of leiomyosarcoma arising from the sigmoid mesocolon due to it's rarity and unusual clinical presentation.     

Adenoid cystic carcinoma of breast with metastasis: a case report and review of the literature.

Adenoid cystic carcinoma of the breast is a rare tumor having a favorable prognosis. At this writing, less than 100 cases have been reported. A review of the literature discloses only six well-documented cases with associated distant metastases. The characteristic biological behavior of this tumor appears to be the development of distant metastasis without prior detectable invasion of axillary lymph nodes.