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目的:子宫肌瘤肉瘤样变合并肝低分化腺癌样变的病例报道,探讨子宫肌瘤肉样变及肝低分化腺癌的预防措施。方法:报道病例的临床症状及临床辅助检查结果,复习相关文献,分析该病例的病程变化。结果:考虑患者既往多年子宫肌瘤病史及乙性肝炎病毒感染病史,肝组织活检病理未能鉴别原发和转移性病变,故考虑子宫肌瘤肉瘤样变与乙肝肝炎癌变同时进行,互相转移。结论:子宫肌瘤、病毒性肝炎病史患者,于超声未见明显异常时,应行CT或增强CT检查,同时定期检查HBV与HBs Ag定性定量,以明确病因,尽可能早期诊断、早期治疗,以免延误病情,影响预后。
Objective: Uterine fibroids sarcomatoid change associated with poorly differentiated adenocarcinoma of the liver cases reported cases of uterine fibroids and poorly differentiated adenocarcinoma preventive measures. Methods: Reported the clinical symptoms and clinical auxiliary examination results, review the relevant literature, analysis of the course of disease changes. Results: Considering the history of uterine fibroids and the history of hepatitis B virus infection, the biopsy of liver tissue failed to identify the primary and metastatic lesions. Therefore, considering the uterine fibroids sarcoma-like changes and carcinogenesis of hepatitis B at the same time, transfer to each other. Conclusion: Patients with history of uterine fibroids and viral hepatitis should be examined by CT or enhanced CT when there is no obvious abnormality of ultrasound. At the same time, the qualitative and quantitative analysis of HBV and HBsAg should be checked periodically to make clear the cause, diagnose and cure as soon as possible, So as not to delay the disease, affecting the prognosis.