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弥漫性腹膜平滑肌瘤病(LeiomyomatosisPeritonealis Disseminata)是一种极其罕见的肿瘤。Willson (1952)首次报告,Taubert等(1965)加以描述和命名。1980年前国外报告仅12例,国内藏玉华等(1981)报告2例。笔者经治1例,为病理证实,特予报告。患者女,67岁。因腹胀2月余,腹块2周,病后体重减轻,于1983年4月14日入院。既往孕产5胎,闭经10余年,体检:体温36℃,脉搏80次,血压180/94mmHg。浅表淋巴结无肿大。心肺正常。腹膨隆,肝、脾未扪及,左上腹可扪及17×12×7cm肿物,质硬、实性、分叶状、边缘不规整、无压痛,活动度大。白细胞6.710,红细胞376万,血色素10.9％。尿常规正常,尿糖阴性。肝功能正常范围。血脲素氮16.8mg％,血肌酐1.5mg％。
Diffuse peritoneal leiomyomatosis (Leiomyomatosis Peritonealis Disseminata) is an extremely rare tumor. The first report by Willson (1952) was described and named by Taubert et al. (1965). Only 12 cases were reported by foreign countries before 1980, and 2 cases were reported by Tibet Yuhua et al. (1981). The author treated 1 case, confirmed for pathology, special report. Female patient, 67 years old. Due to abdominal distension for more than 2 months, abdominal mass for 2 weeks, weight loss after illness was admitted to hospital on April 14, 1983. In the past, there were 5 cases of motherhood and amenorrhea for more than 10 years. The physical examination consisted of a body temperature of 36°C, a pulse of 80, and a blood pressure of 180/94 mmHg. Superficial lymph nodes are not swollen. Normal heart and lung. Abdominal bulging, liver, spleen not palpable, left upper abdomen can be palpable and 17 × 12 × 7cm mass, hard, solid, lobulated, irregular edges, no tenderness, activity. White blood cells 6.710, 3.76 million red blood cells, 10.9% hemoglobin. The urine routine was normal and the urine sugar was negative. Normal liver function range. Blood urea nitrogen 16.8mg%, serum creatinine 1.5mg%.