Objective To summarize and analyze the imaging characteristics of hyper vascular leiomyomatosis peritonealis disseminata(LPD),aiming to improve the diagnosis and treatment level of hyper vascular LPD.Method The data of 4 hyper vascular LPD cases diagnosed in the First Affiliated Hospital of Sun Yat-sen University from July 2018 to October 2020 were collected for retrospective analysis,including their clinical characteristics,preoperative imaging findings,diagnoses,treatments,and postoperative pathological diagnoses.Result All 4 patients had a history of uterine fibroids surgery.4 patients all underwent preoperative computed tomography(CT)plain and enhanced scans,while 1 case also underwent magnetic resonance imaging(MRI)plain and enhanced scans,positron emission tomography-computed tomography(PET-CT)examination,and 3D printing.Imaging findings showed multiple solid nodules and masses with obvious heterogeneous enhancement,twisted and dilated abnormal vessels were seen inside and around the tumor,which were more prominent as the tumor size increased.4 patients were misdiagnosed by CT preoperatively.4 patients all received surgical treatment,with 3 undergoing open abdominal tumor resection,and 1 undergoing laparoscopic tumor resection.Tumors were located in the abdominal pelvic cavity,greater omentum,mesentery,broad ligament and sacroiliac ligament,etc.Conclusion Preoperative imaging examinations can accurately determine the location of hyper vascular LPD and blood-supplying vessels,providing important information for the surgical plans and other treatments.
维普
万方数据