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伴有大量破骨样巨细胞的平滑肌肉瘤(leiomyosarcoma with prominent osteoclast-like giant cells,LMS-OGC)是一种少见的特殊类型的平滑肌肉瘤,由Darby等[1]首次报道,国内仅见李媛等[2]1篇报道。本文报道1例子宫体LMS-OGC,结合相关文献对其临床病理特征、诊断及鉴别诊断进行讨论。1材料与方法1.1材料患者女性,61岁。因绝经8年,阴道流血3天就诊。妇科检查:子宫体增大如孕4个月,子宫后壁扪及一质硬结节,宫颈未见赘生物。B超示宫体肌间可见一个大小9.2 cm×6.6 cm的椭圆形
Leiomyosarcoma with prominent osteoclast-like giant cells (LMS-OGC) is a rare and special type of leiomyosarcoma. It was first reported by Darby et al [1] that Li Yuan et al [2] 1 article. This article reports a case of uterine body LMS-OGC, combined with relevant literature on its clinicopathological features, diagnosis and differential diagnosis are discussed. 1 Materials and Methods 1.1 Materials Patients Female, 61 years old. Due to menopause 8 years, vaginal bleeding 3 days treatment. Gynecological examination: uterine enlargement such as pregnancy 4 months, palpable uterine wall of a hard nodules, no cervical vegetation. B-ultrasonography showed a body size between the muscle of 9.2 cm × 6.6 cm oval