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Objective: To improve the diagnosis and treatment of cervical lipoleiomyoma. Methods: 17 cases of cervical lipoleiomyoma admitted between September 2011 and April 2023 in the Beijing Obstetrics and Gynecology Hospital of Capital Medical University were analyzed retrospectively, including their pathogenesis, clinical characteristics, diagnosis and differential diagnosis, and treatment. Results: The average age of onset was (44.6 ±9.6) years. Patients mainly presented with lower abdominal pain or flank pain, menorrhagia, or asymptomatic. Ultrasound examination in all patients did not suggest cervical lipoleiomyoma, while 5 patients (29.4%) were suggested the degeneration of the myoma. Six patients underwent magnetic resonance imaging (MRI), and 2 cases detected fatty component. All 17 patients underwent surgical treatment. The cervical lipoleiomyoma ranged from 2.0 to 15.0 cm in diameter. Postoperative pathology of all cases showed cervical lipoleiomyoma. Follow-up ranged from 3 to 141 months, and only one patient had a cervical mass rediscovered at 9 months postoperatively and underwent radical surgery. Conclusions: Cervical lipoleiomyoma is a rare benign tumor, lacking specific clinical symptoms and imaging. The diagnosis mainly depends on surgical exploration and postoperative pathology, and surgery is the main treatment. Long-term follow-up after operation is required. [ABSTRACT FROM AUTHOR]

Objective: To improve the diagnosis and treatment of diffuse uterine leiomyomatosis (DUL). Methods: 33 cases of DUL admitted between January 2009 and October 2022 in the Beijing Obstetrics and Gynecology Hospital of Capital Medical University were analyzed retrospectively, including their clinical characteristics, diagnosis and treatment methods and postoperative pregnancy. Results: The average age of onset of the 33 patients was (38.4±6.9) years (24-52 years). Nineteen patients (57.6% ) presented with menorrhagia, 7 patients (21.2% ) presented with frequent urination or lower abdominal distension, and the remaining 7 patients (21.2%) were asymptomatic and the examination revealed the uterine leiomyoma was progressively enlarged. Ultrasound examination was performed in 33 patients, and 15 patients (45.5%) showed myometrium was full of hypoechoic nodules. 7 patients underwent magnetic resonance imaging (MRI), and 3 cases showed diffuse distribution of round nodules or masses of variable sizes in the myometrium. All 33 patients underwent surgical treatment, 19 underwent transabdominal or laparoscopic hysterectomy, the other 14 with fertility requirements, 11 of them underwent transabdominal myomectomy and 3 underwent hysteroscopic myomectomy. Postoperative pathology and immunohistochemistry were all suggestive of leiomyoma. The average follow -up time after surgery was (67.8 ±36.3) months in 14 patients with fertility requirements (2 patients lost). Three patients had natural pregnancies, two had successful deliveries (one of which had two deliveries), and the other had cornual pregnancy that was cleared. Conclusions: DUL is a rare benign smooth muscle tumor that occurs in women of reproductive age. The most common clinical symptoms were menorrhagia and infertility. If ultrasound shows myometrium was full of myoma nodules and the patient presents with menorrhagia or infertility except for other reasons, MRI is indicated to help identify the disease early stage. Surgery is the main treatment. Hysterectomy is recommended for patients without fertility requirements, and the choice of fertility-preserving treatment requires further research. [ABSTRACT FROM AUTHOR]

Objective: To explore the characteristics of clinical cases misdiagnosed as gynecological tumors and to improve the knowledge and diagnostic ability of pelvic non-genital system tumors. Methods: A retrospective analysis of the case data of 58 patients admitted between August 2009 and March 2022 in the Beijing Obstetrics and Gynecology Hospital of Capital Medical University who were misdiagnosed as gynecological tumors, all of which were confirmed to be non -genital tumors by intraoperative exploration and pathology, including 24 cases of retroperitoneal tumors, 15 cases of appendiceal tumors and 19 cases of intestinal or mesenteric tumors. The clinical features, imaging manifestations, surgical methods and pathological diagnosis were analyzed. Results: Twenty -four patients with retroperitoneal tumors were preoperatively misdiagnosed as adnexal masses in 18 cases (75.0%), as uterine fibroids or broad ligament fibroids in 5 cases (20.8%), and as inflammatory pelvic masses in 1 case (4.2%). The clinical manifestations were abdominal pain or lower abdominal cramping in 6 cases (25.0%), frequent urination in 2 cases (8.3%), dyspareunia with sacrococcygeal discomfort in 1 case (4.2%), and no obvious symptoms in 15 cases (62.5%). Ultrasound or pelvic magnetic resonance imaging (MRI) did not suggest the possibility of retroperitoneal masses, and only one patient had pelvic and abdominal CT enhancement that did not exclude the possibility of retroperitoneal masses. In 15 patients with appendiceal tumors, all patients were misdiagnosed as adnexal tumors before surgery. The clinical manifestations were abdominal pain or lower abdominal distension in 6 cases (40.0%), and no obvious symptoms in 9 cases (60.0%). None of the patients had ultrasound suggesting a possible source of the appendiceal mass, and 3 patients had CT or MRI suggesting possible tumors of appendicular origin. 19 patients with intestinal or mesenteric tumors were misdiagnosed as having an adnexal mass in 18 cases (94.7%), a case (5.3%) was misdiagnosed as subserous myoma. The clinical manifestations were abdominal pain or lower abdominal distension in 8 cases (42.1%), and no obvious symptoms in 11 cases (57.9%). A patient had ultrasound suggesting that mesenteric cysts were not excluded, and neither CT nor MRI suggested the possibility of intestinal or mesenteric masses. Conclusions: Retroperitoneal tumors, appendiceal tumors and intestinal or mesenteric tumors are mostly suggested as pelvic masses by preoperative imaging, most of them have no specific clinical symptoms, and it is difficult to differentiate them from gynecological tumors. The gynecologists should pay attention to the above tumors, and carefully indentify patients with adnexal tumors to avoid misdiagnosis. [ABSTRACT FROM AUTHOR]

To report a case of a 28-year-old woman with a vaginal foreign body retained for 10 years. The patient reported a history of sexual assault 10 years ago and did not seek medical attention afterwards. She started having intercourse 2 years ago, and had vaginal bleeding. She developed abdominal pain and fever 1 year ago. The pelvic magnetic resonance imaging suggested a possible vaginal foreign body. After admission, the combined hysteroscopy and laparoscopic surgery was performed. Laparoscopy showed the surface of the pelvic organs was covered with a large amount of inflammatory adhesions, the tubes were stiff and tortuous bilaterally, and that no vaginal foreign body was protruded into the pelvis. Hysteroscopy showed a large number of hard inflammatory polyp -like superfluous organisms in the middle part of the vagina, with a 1 cm hole between them. After hysteroscopic access, a barrel-shaped hard black foreign body, approximately 3 cm long and 2 cm in diameter, was seen in the right fornix, which was extensively and densely adherented to the fornix and vaginal wall. The foreign body was removed under the hysteroscopy combined hysterolaparoscopy, the inflammatory tissue located in the vagina was resected, and the vagina was repaired. The patient was recovering well after surgery. [ABSTRACT FROM AUTHOR]

Objective: To improve the diagnosis and treatment of ovarian Sertoli-Leydig cell tumor (SLCT). Methods： Thirteen cases of ovarian SLCT admitted between June 2014 and July 2021 were analyzed retrospectively, including their clinical characteristics, diagnosis, treatment and prognosis. Results： The median age of onset was 31 years (13-72 years) in 13 patients. Eight patients (61.5%) had the androgenic manifestations (due to the elevated levels of testosterone), 3 patients (23.1%) presented with abnormal uterine bleeding, and the other two patients (15.4% ) had no obvious clinical symptoms. Imaging mainly showed cystic -solid tumors or solid tumors. All 13 patients underwent surgery, and diagnosed with ovarian SLCT by histopathology and immunohistochemistry. Eleven patients were at stage ⅠA, and 2 patients at stage ⅠC. Four patients underwent the complementary surgery to resect the affected adnexa and perform the multi-point pelvic and abdominal biopsy after 1-2 months of the initial operation and histopathological diagnosis. Two patients with SLCT at stage ⅠC underwent postoperative chemotherapy with the bleomycin + etoposide + cisplatin (BEP) regimen. The median follow-up time after surgery was 33 months. None of the 13 patients had a recurrence. Conclusions： Ovarian SLCT should be considered when women had abnormal endocrine symptoms and ovarian cystic-solid or solid masses. Surgery is main treatment for SLCT patient, and operative and postoperative histopathology will confirm the diagnosis of ovarian SLCT. Postoperative chemotherapy can be accordingly considered, and the postoperative multidisciplinary follow-up has been suggested. [ABSTRACT FROM AUTHOR]

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Copyright of Journal of International Obstetrics & Gynecology is the property of TianJin Medical Information Center and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of International Obstetrics & Gynecology is the property of TianJin Medical Information Center and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of International Obstetrics & Gynecology is the property of TianJin Medical Information Center and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)