Intravenous Endometrial Stromal Sarcoma: A Case Report

靜脈長出的子宮內膜基質肉瘤：病例報告

林義嵐(Yi-Lan Lin) ； 蘇文科(Wen-Ko Su) ； 林倩薏(Chien-Yi Lin)

《中華放射線醫學雜誌》 35卷3期 (2010/09) Pp. 164-170

摘要

子宮內膜基質肉瘤(endometrial stromal sarcoma)是種少見的間質腫瘤，通常存在於子宮，但是有時也會在其他地方出現，像是卵巢、腸系膜、以及陰道。我們報導一個少見的子宮內膜基質肉瘤，長在左邊卵巢靜脈，發生在一個因為子宮肌瘤，開完子宮切除術29年的婦人身上。如果能在手術前就診斷出來，就能開刀切除，避免肺栓塞，使病人有更好的癒後。

並列摘要

Endometrial stromal sarcoma (ESS) is a rare mesenchymal neoplasm that usuallyoccurs as a primary tumor of the uterus. Endometrial stromal sarcomas may occasionally arise in other sites, such as the ovary, mesentery, and vagina. We report an endometrial stromal sarcoma arising from the left ovarian vein after a hysterectomy 29 years earlier because of uterine myomas. To the best of our knowledge, it is extremely rare for endometrial stromal sarcoma to grow in the great vessels, especially the left ovarian vein. Even though this tumor is rare, it should be included in the differential diagnosis when a longitudinal mass is seen in the left lower abdomen of a female patient. Therefore, the correct preoperative diagnosis can be established.