Ty-Jour A2 - Takeuchi，Kyousuke Au - Fujima，Mariko Au - Kobayashi，Yoichi Au - Watanabe，Momoe Au - Shibuya，Hiromi Au - Matsumoto，Hiromi Au - Nishigaya，Yoshiko Au - Momomura，Mai Au - Yoshiike，Shinya Au -Nagahama，Kiyotaka Au - Shibahara，Junji Au - Suzuki，Atsushi Py - 2021 Da - 2021/07/24 Ti - 一种源自小细胞肺癌（SCLC）的转移性子宫肿瘤的案例模仿子宫肉瘤 - 1809017 VL - 2021源自丙酸癌的AB - 转移性子宫肿瘤是一种罕见的临床发生。我们举报了衍生自源于手术治疗的小细胞肺癌（SCLC）的转移性子宫癌的病例。患者是59 y / o女性，在IIIB SCLC阶段经过化疗。最初在CT扫描上检测到15cm子宫肿瘤病变。患者以前诊断出患有子宫肌瘤，但与最近的CT扫描相比，成像诊断表明与先前的8cm肌瘤肌瘤相比，肿瘤的大小突然增加。MRI扫描的额外处理扫描显示了几乎完全入侵肌瘤的肿瘤的T2增强图像;肿瘤呈现出明显的扩散加权增强，并在肿瘤内注意到流动空隙。考虑了对子宫肉瘤的鉴别诊断，但由于缺乏对MRI成像的局灶性出血或坏死的结果，还注意到转移SCLC鉴别诊断的可能性。 As the patient was experiencing abdominal symptoms including abdominal distension and tenderness due the tumor, a simple hysterectomy and bilateral salpingo-oophorectomy were performed to palliate the symptoms. During the surgical procedures, intra-abdominal findings noted peritoneal dissemination while intraoperative cell cytology diagnosis of ascites revealed small-cell cancer. The final histopathological diagnosis likewise revealed metastatic small-cell cancer from the primary lung cancer. The clinical status of the lung cancer was evaluated as progressive disease (PD), and a change in chemotherapy regimen was necessitated. Further disease progression was noted on CT scans at 2 and a half months after surgery, and with gradual systemic disease progression, the patient died of disease at 3 months postsurgery. Initial evaluation of rapidly enlarging uterine tumors should include a differential diagnosis of uterine sarcoma; additionally, it is necessary to also consider the rare possibility of metastatic disease as in the present case with a clinical history of extragenital malignancy. SN - 2090-6684 UR - https://doi.org/10.1155/2021/1809017 DO - 10.1155/2021/1809017 JF - Case Reports in Obstetrics and Gynecology PB - Hindawi KW - ER -