Background:A uterine leiomyosarcoma is a relatively rare malignant tumor of the uterus with a high degree of malignancy that is prone to distant metastasis and recurrence in the early stages,and therefore has a poor p...Background:A uterine leiomyosarcoma is a relatively rare malignant tumor of the uterus with a high degree of malignancy that is prone to distant metastasis and recurrence in the early stages,and therefore has a poor prognosis.Plain and enhanced CT scans are important for the early diagnosis of uterine leiomyosarcoma.Case report:We report the case of a 47-year-old woman with a uterine leiomyosarcoma.A preoperative plain CT scan showed significant uterine enlargement,whereas an enhanced CT scan showed an uneven and significantly enhanced mass.A large mass was observed in the lower and middle parts of the abdomen intraoperatively.The large mass in the abdominal and pelvic cavities was a uterine mass with bilateral adnexal lesions,approximately 20 cm×20 cm×15 cm in size.Bilateral retroperitoneal masses were palpated.A total hysterectomy,left salpingectomy,right adnexectomy,and resection of the retroperitoneal mass were performed.The pathologic diagnosis was uterine leiomyosarcoma with bleeding and necrosis.Conclusions:Diagnosis of uterine leiomyosarcoma lacks clinical specificity.Imaging is helpful for early diagnosis,treatment,disease course assessment,and efficacy evaluation.Ultimately,a pathologic examination and biopsy are required to confirm the diagnosis.展开更多
Background:Extramedullary epidural metastatic tumors of small cell lung cancer(SCLC)are rare,and their clinical symptoms and imaging features lack specificity.This study was aimed at improving understanding of epidura...Background:Extramedullary epidural metastatic tumors of small cell lung cancer(SCLC)are rare,and their clinical symptoms and imaging features lack specificity.This study was aimed at improving understanding of epidural metastatic SCLC tumors.Case report:We present the case of a 75-year-old patient with an extramedullary epidural metastatic SCLC tumor that was misinterpreted as a primary intraspinal tumor according to preoperative CT and MRI resonance imaging.Laboratory test results for CA-153(28.30 U/mL)were substantially abnormal.A solid,well-defined,soft tissue mass approximately 0.3 cm×1.5 cm in diameter at the seventh and eighth thoracic canals was observed on CT and MRI images.A dural tail sign was observed on contrast-enhanced magnetic MRI.Because the tumor compressed the spinal cord,the intraspinal mass was resected,and the vertebral canal was decompressed.Pathological examination confirmed the diagnosis of an extramedullary epidural metastatic SCLC tumor.Conclusions:Extramedullary epidural metastatic SCLC tumors lack clinical specificity.Imaging is helpful for early diagnosis,treatment,prediction of the disease course,and evaluation of curative effects.Ultimately,pathological examination and biopsy are required to confirm the diagnosis.展开更多
基金supported by the National Natural Science Foundation of China(82160348 to BY)the Major Science and Technology Special Plan Project of Yunnan Provincial Department of Science and Technology(202302AA3100018 to BY)the Kunming Health Technology Talent Training Project(2022-SW(Reserve)-01 to BY).
文摘Background:A uterine leiomyosarcoma is a relatively rare malignant tumor of the uterus with a high degree of malignancy that is prone to distant metastasis and recurrence in the early stages,and therefore has a poor prognosis.Plain and enhanced CT scans are important for the early diagnosis of uterine leiomyosarcoma.Case report:We report the case of a 47-year-old woman with a uterine leiomyosarcoma.A preoperative plain CT scan showed significant uterine enlargement,whereas an enhanced CT scan showed an uneven and significantly enhanced mass.A large mass was observed in the lower and middle parts of the abdomen intraoperatively.The large mass in the abdominal and pelvic cavities was a uterine mass with bilateral adnexal lesions,approximately 20 cm×20 cm×15 cm in size.Bilateral retroperitoneal masses were palpated.A total hysterectomy,left salpingectomy,right adnexectomy,and resection of the retroperitoneal mass were performed.The pathologic diagnosis was uterine leiomyosarcoma with bleeding and necrosis.Conclusions:Diagnosis of uterine leiomyosarcoma lacks clinical specificity.Imaging is helpful for early diagnosis,treatment,disease course assessment,and efficacy evaluation.Ultimately,a pathologic examination and biopsy are required to confirm the diagnosis.
基金supported by the Program for Cultivating Reserve Talents in Medical Disciplines of the Health Committee of Yunnan Province(H-2018008 to B.Y.)the National Natural Science Foundation of China(82160348 to Y.B.).
文摘Background:Extramedullary epidural metastatic tumors of small cell lung cancer(SCLC)are rare,and their clinical symptoms and imaging features lack specificity.This study was aimed at improving understanding of epidural metastatic SCLC tumors.Case report:We present the case of a 75-year-old patient with an extramedullary epidural metastatic SCLC tumor that was misinterpreted as a primary intraspinal tumor according to preoperative CT and MRI resonance imaging.Laboratory test results for CA-153(28.30 U/mL)were substantially abnormal.A solid,well-defined,soft tissue mass approximately 0.3 cm×1.5 cm in diameter at the seventh and eighth thoracic canals was observed on CT and MRI images.A dural tail sign was observed on contrast-enhanced magnetic MRI.Because the tumor compressed the spinal cord,the intraspinal mass was resected,and the vertebral canal was decompressed.Pathological examination confirmed the diagnosis of an extramedullary epidural metastatic SCLC tumor.Conclusions:Extramedullary epidural metastatic SCLC tumors lack clinical specificity.Imaging is helpful for early diagnosis,treatment,prediction of the disease course,and evaluation of curative effects.Ultimately,pathological examination and biopsy are required to confirm the diagnosis.
