Primary leiomyoma of the liver

This case report describes a primary hepatic leiomyoma presenting as a mass lesion detected on ultrasonography of the abdomen in an asymptomatic hepatitis B carrier on routine surveillance. Primary leiomyomata of the liver are rare occurrences, with only 9 cases reported in the literature. The presenting features of primary hepatic leiomyomata and diagnostic approach towards such lesions are discussed. The significance of such tumours in the immunocompromised is also mentioned.     

原发性膀胱平滑肌瘤合并子宫肌瘤1例报道

<正>膀胱肿瘤以恶性多见,绝大多数起源于尿路移行上皮,间叶组织来源罕见,小于5%,包括平滑肌瘤、纤维肌瘤、横纹肌瘤、纤维瘤和骨瘤^[1]。其中,最常见组织学类型是平滑肌瘤。据1990至2021年文献统计,目前中文文献已报道膀胱平滑肌瘤约169例,外文文献已报道不足300例。本文报道原发性膀胱平滑肌瘤合并子宫肌瘤1例,对此病的发病率、病因病理、临床表现、诊断与治疗进行讨论,以提高临床对此病的认识和诊治水平。     

Primary ovarian pregnancy

Primary ovarian pregnancy is a rare type of ectopic pregnancy, which is difficult to diagnose clinically and even intra operatively. Here we present a case of a 20-year-old woman with ruptured right ovarian pregnancy and dermoid cyst of left ovary.     

子宫平滑肌瘤细胞原代培养及鉴定

目的:建立人子宫平滑肌瘤细胞原代培养方法,为子宫肌瘤发病机制及治疗药物筛选的研究提供理想的细胞株系.方法:采用消化法及组织块贴壁2种方法进行子宫平滑肌瘤细胞培养.倒置显微镜下观察原代培养的细胞,并用免疫组化染色对其进行鉴定.结果:2种方法均可获得大量子宫肌瘤细胞,所培养的细胞在倒置显微镜下呈梭形和典型"峰-谷"样生长,α-Actin免疫组化染色呈强阳性.结论:采用该2种方法均可成功进行人子宫平滑肌瘤细胞的原代培养,且培养的人子宫平滑肌细胞生长良好,纯度高,可用于子宫肌瘤发病机制及治疗药物筛选的研究.     

原发性十二指肠平滑肌瘤(附1例报告)

原发性十二指肠肿瘤较为少见,而十二指肠平滑肌瘤则更为罕见.现报告1例如下:     

Primary leiomyoma of the ovary--a report of 2 resected cases

Leiomyoma of the ovary is relatively rare and its origin is still controversial. Here, we report 2 cases of ovarian leiomyoma. Case 1, a 59-year-old woman who complained of abdominal distention. Ultrasonography and computed tomography revealed a large solid mass in the lower abdomen. The mass was diagnosed as uterine myoma preoperatively, but it turned out to be a left ovarian tumor at laparotomy. The tumor was about an adult-head size, grayish, elastic hard, and solid. In case 2, a fist-sized mass was accidentally detected in the right ovary of a 84-year-old woman during laparotomy for rectal cancer. Histologically both tumors were composed of solid proliferation of short spindle-shaped cells, that formed interlacing fascicles and showed varying degrees of hyalinization. Both tumors were diagnosed as leiomyoma. Although this tumor is rather infrequent, it is necessary to consider leiomyoma for differential diagnosis, when a solid tumor is detected in the ovary.     

Primary ovarian lymphoma in a child

Ovarian tumour is rarely seen in paediatric age group and primary ovarian non-Hodgkin's lymphoma is very uncommon. A child presenting with acute abdomen was detected to have bilateral solid ovarian tumours. Because of torsion of the right ovarian tumour and complete replacement of the ovarian tissue by the tumour on left side, bilateral salpingo-oophorectomy was done. Bilateral primary ovarian lymphoma was diagnosed on histopathological examination. Immunohistochemistry was suggestive of B-cell lineage. She had eight cycles of chemotherapy and at 28 months follow-up doing well without any sign of any recurrence or any evidence of metastasis.     

子宫动脉栓塞治疗子宫肌瘤的疗效及术后卵巢功能变化

目的　探讨子宫肌瘤应用子宫动脉栓塞 (UAE)的疗效及对卵巢功能的影响。方法　因子宫肌瘤行UAE治疗的年轻妇女 5 2例。监测治疗前、后肌瘤大小 ,血红蛋白 ,月经 ,女性激素及排卵情况。结果　①治疗后 1,2 ,3年肌瘤缩小率为 77% ,80 %和 86% ;②治疗前及治疗后 3 ,6,12和 2 4个月平均血红蛋白浓度为 88 4,10 1 1,12 2 5 ,12 8 7和12 9 5g/L ,治疗 6个月后明显高于治疗前 (P <0 .0 5 ) ;③治疗后血E2 ,FSH和LH与治疗前比较差异无显著性 (P >0 0 5 ) ,治疗后 2～ 5个月恢复排卵。结论　UAE对缩小肌瘤 ,特别是肌瘤引起月经量过多疗效显著 ,对卵巢功能影响轻微、短暂 ,不会引起闭经及卵巢功能早衰     

Primary unruptured ovarian pregnancy with intrauterine device.

A case of intrafollicular and unruptured ovarian pregnancy associated with intrauterine device which meets the rigid criteria of Spiegelberg (1878) is presented. Clinically, unruptured cases can be confused with ovarian cysts. Intrauterine devices are highly effective for protection against uterine gestation and to a lesser degree against tubal gestation, but they have no effect in preventing ovarian gestation.