原发性精索平滑肌肉瘤1例

<正>原发性精索恶性肿瘤罕见,其中大部分为恶性间叶性组织肿瘤,我们于2012年5月7日收治右侧精索平滑肌肉瘤1例,现报告如下。1资料与方法患者,63岁,因右侧阴囊内无痛性包块3个月于2012年5月7日入我院。     

阴茎平滑肌肉瘤1例

患者 ,男 ,75岁。因阴茎肿块 3个月 ,排尿困难1个月 ,于 2 0 0 2年 7月 2 0日入院。患者自幼包茎 ,3个月前发现阴茎头部有一花生米大小肿物 ,无明显不适 ,未行诊治 ,此后该肿块进行性增大 ,生长极快。既往史、个人史、家族史无特殊。体检 :全身一般情况和重要脏器无特殊发现 ,包茎 ,包皮口狭小 ,阴茎头部一 4.0cm× 4.0cm肿块 ,暗褐色、质硬 ,广基 ,表面轻度糜烂 ,无明显异味 ,双侧腹股沟区未触及肿大淋巴结 ,腹部和盆腔CT扫描未见腹膜后肿大淋巴结 ,上腹部B超检查未发现肝、胆、胰等脏器有转移病灶 ,胸部X线片正常。临床初步诊断为阴茎癌…     

直肠平滑肌肉瘤1例报告

患者 ,男 ,56岁 ,因肛门周围肿物伴疼痛 6年加重 2个月入院。查体 :于截石位 5点 ,距肛门 3cm ,见有直径约 5cm的肿物 ,肛诊 :可触及一巨大肿物突入直肠内 ,充满骨盆 ,将直肠压至肿瘤的右前方 ,表面尚光滑 ,上界触及不到边缘 ,不活动 ,触痛。无手套血染。CT示 :直肠周围见有 1 8cm× 1 2cm× 9cm大小的软组织块影 ,边界尚清 ,内部有高低混杂密度 ,考虑为直肠软组织恶性肿瘤。手术取截石位 ,于肿物最突出部 ,以肛门为中心弧形切口 ,长约 6cm ,切开至肿瘤表面。切除部分肿瘤 ,送快速冰冻病理检查 ,提示为直肠周围软组织恶性肿瘤。再从下腹部…     

胆囊平滑肌肉瘤1例

患者,女,68岁,间歇性右上腹疼痛2年余,与进食油腻食物有关,疼痛向腰、肩部放射,无黄疸,无恶心呕吐,无腹泻.     

下腔静脉平滑肌肉瘤1例

[病例简介]女,66岁.无明显诱因上腹部持续性胀痛1个月,上腹部皮肤发热入院.无恶心、呕吐及放射痛,无尿频、尿急、尿痛及血尿.查体：腹部饱满,未见肠型及蠕动波,右上腹部压痛,无明显反跳痛,肝脾肋下未触及,肝、肾区无叩痛,无移动性浊音,肠鸣音正常,双下肢无水肿.[第一段]     

下腔静脉平滑肌肉瘤1例

我院收治经二次手术证实为下腔静脉平滑肌肉瘤1例,报告如下.1 临床资料患者女性,46岁.主要症状为上腹疼痛.1997年9月以“腹膜后肿瘤”行腹膜后肿瘤切除术.术后8个月出现右上腹疼痛,第二次来我院治疗,术前经B超、CT证实右侧腹膜后有一实质占位病变,侵及右肾静脉、下腔静脉.DSA检     

原发性胆总管平滑肌肉瘤1例

患者　男 ,3 1岁。因全身皮肤巩膜黄染、间断黑便 1个月入院。无肝炎病史。体查 :全身皮肤巩膜明显黄染。腹平坦 ,全腹无压痛、反跳痛或肌紧张 ,肝脾肋下未触及 ,未触及包块 ,移动性浊音阴性 ,肠鸣音正常。B超 ,CT ,MR CP均提示胆管癌。剖腹探查 ,术中见胆管扩张 ,直径约 4cm ,胆管中段右后侧壁可触及质韧肿块 ,约 6cm× 3cm× 3cm大小质脆易碎易出血肿物 ,突向胆管腔内 ,肿物未侵犯周围脏器。行肿物连同该段胆管切除 ,远端缝闭 ,近端行胆总管空肠Roux en Y吻合术 ,术后恢复好。病理报告 :胆总管平滑肌肉瘤。讨论　胆道系统肉瘤的发病率…     

膀胱平滑肌肉瘤1例报告

辽宁省调兵山市铁煤集团总医院泌尿外科接诊1例膀胱平滑肌肉瘤患者,现报告如下。     

小网膜平滑肌肉瘤1例

患者　男 ,38岁。 1年前因上腹饱胀不适检查时发现上腹部包块 ,无明显疼痛感 ,未做特殊治疗。此后包块逐渐增大 ,出现疼痛 3ｄ入院。体查 :上腹部可触及约两个拳头大小包块 ,界限不清 ,无压痛 ,活动可。血红蛋白 96ｇ Ｌ、白细胞8 3× 10 9 Ｌ ,中性粒细胞 0 73。肝肾功能正常。胸腹透视无异常。胃镜 :食道、胃壁及十二指肠上部均未发现异常。术中见 :肿块位于肝胃韧带旁 ,大小约 15ｃｍ× 10ｃｍ× 6ｃｍ。呈实质分叶结节状 ,蒂为小网膜 ,顶部有 6ｃｍ× 3ｃｍ× 3ｃｍ之灰白色囊性突起 ,表面光滑 ,腔内为豆腐渣样物。包块与腹腔无粘连 ,…     

上臂高位断肢再植一例初步报告

目的报告一例上臂高位断肢再植的治疗结果。方法对1例左上臂高位断肢患者的病史,术后功能的恢复进行分析。结果本例患者术后再植肢体肿胀不明显,创面一期愈合。139d后,手指出现轻微的屈指运动,6个月后,左手出现触觉痛,8个月后,骨折线模糊,主动运动肩关节外展30°,前屈20°,肘关节屈75°,伸0,腕关节背伸0,掌屈15°,大小鱼际肌及手内在肌轻度萎缩,呈爪形手,被动屈曲时指尖能接近掌指关节,伸指受限,被动活动度达正常范围,腕关节近端痛觉,触压觉及温冷觉明显恢复,左手感觉尚未恢复。结论上臂高位离断再植的适应症是肢体完整,缺血时间短,神经非根性撕脱伤,且患者年轻,全身情况良好,应尽量给予再植。     

Leiomyosarcoma of the prostate: a case report

A case of leiomyosarcoma of the prostate in a 26-year-old man is presented. The short duration of symptoms, the typical sensation at rectal palpation, and the sudden fast increase in growth are stressed. The bad prognosis justifies an agressive therapeutical approach.     

Leiomyosarcoma of the pinna: a case report

Leiomyosarcoma is a malignant tumor that can arise from smooth muscle or from pluripotential, undifferentiated mesenchymal cells. In the head and neck, smooth muscle is sparse and found mainly in the walls of blood vessels and the erector pili muscles of the skin. The occurrence of leiomyosarcoma in the head and neck region is rare. The purpose of this report is to describe a case of leiomyosarcoma of the pinna. To our knowledge, the present case is only the second case of leiomyosarcoma of the pinna reported.     

Dorsal compartment syndrome of the upper arm. A case report

A rare case of posttraumatic dorsal compartment syndrome of the upper arm is reported. This case was diagnosed by measuring the intracompartmental pressure. The patient was administered local anesthesia and immediately underwent surgery. The result was successful.     

Leiomyosarcoma of the scrotum: a case report

Leiomyosarcoma of the scrotum is a rare tumor. Up to 1999, only 29 cases have been reported in the literature worldwide. A 27-year-old man presented with a mass on the left side of the scrotum which had been painless and had gradually enlarged over the previous 10 years. During the following 3 months, however, it became painful and he was then referred to our hospital. Physical examination revealed a solid mass on the left side of the scrotum, measuring 7 cm in diameter, which was not adhering to the testis or to the vas deferens. The tumor was surgically resected. The histological examination confirmed the diagnosis of well differentiated leiomyosarcoma. Adjuvant therapy was considered unnecessary. The follow-up at 41 months revealed no local recurrence or distant metastasis.     

Leiomyosarcoma of the gallbladder: a case report

Primary sarcoma of the gallbladder is a rare disease. The tumor occurs more frequently in women. Usually gallstones are present. Symptoms resemble those of cholelithiasis or cholecystitis. The diagnosis is rarely made preoperatively. The patient was a 51-year-old woman with a 2-month history of right upper quadrant pain, nausea, vomiting, and a 10-pound weight loss. Ultrasound showed cholelithiasis and cholecystitis. Laparoscopic cholecystectomy was converted to open as a result of dense tissue in the middle to distal gallbladder. Exploration by a right subcostal incision revealed multiple implants on the surface of the liver and the peritoneum of the upper abdomen. The wall of the gallbladder was very thick and inflamed. Cholecystectomy with liver biopsy was performed. Pathology revealed poorly differentiated epithelioid leiomyosarcoma of the gallbladder with extension to the liver. The disease followed a very aggressive course and the patient died 3 weeks after the procedure. Recommended treatment is extensive surgical resection that can be followed by radiotherapy or chemotherapy. The tumor follows a very aggressive course, which often lasts a few weeks. Prognosis is poor with rare reported 5-year survivals.     

Leiomyosarcoma of the prostate: a case report

A 39-year-old man with the chief complaints of gross hematuria and dysuria was referred to our hospital on June 6th, 1985. Physical examination revealed a tumor in the left lobe of the prostate. Prostatic needle biopsy showed the histological evidence of leiomyosarcoma. Pelvic exenteration with pelvic lymph adenectomy was performed on June 18th, 1985. Histological findings of the tumor revealed leiomyosarcoma and no lymph nodes metastasis. Two courses of vincristine-adriamycin-cyclophosphamide chemotherapy were given postoperatively after a clonogenic assay was done. He considerably improved and was discharged 3 months after operation. He shows no recurrence of tumor 17 months after operation. Thirty-three cases of leiomyosarcoma reported in Japan are reviewed.     

Leiomyosarcoma of brachiocephalic vein: case report

Primary leiomyosarcoma of venous origin is a rare but frequently lethal disease. Clinical symptoms can be different, often not much evident or absolutely absent. Preoperative diagnosis is difficult also with modern imaging and only pathological examination can identify this malignant tumor. Successful therapy requires early surgery but the long-term survival is poor. A case of leiomyosarcoma arising from veins has been presented.