Workman R D, Wong D S, Pitts W C
Department of Pathology and Laboratory Medicine, St. Francis Health System, 400 45th Street, Pittsburgh, Pennsylvania, 15201, USA.
Gynecol Oncol. 1999 Feb;72(2):261-4. doi: 10.1006/gyno.1998.5249.
A case of embolic vascular seeding of endometrial adenocarcinoma following hysteroscopy is reported.
This phenomenon was recognized in the uterus specimen from a hysterectomy performed 1 week after hysteroscopic endometrial biopsy. Tissue processing artifact was excluded.
Since the patient was otherwise low risk, treatment was limited to hysterectomy. The patient was not given adjuvant therapy. Two years later she remains alive and well with no evidence of disease. The surgical, morphologic, and clinical features of this case are presented and illustrated.
Previous reports of peritoneal tumor seeding associated with hysteroscopy are reviewed. Tumor embolization during hysteroscopic endometrial biopsy was not followed by tumor recurrence in this case.
报告1例宫腔镜检查后发生子宫内膜腺癌血管栓塞性播散的病例。
该现象在宫腔镜子宫内膜活检1周后进行的子宫切除术中从子宫标本中被识别出来。排除了组织处理假象。
由于该患者在其他方面属于低风险，治疗仅限于子宫切除术。未给予患者辅助治疗。两年后，她仍然健在，无疾病迹象。展示并说明了该病例的手术、形态学和临床特征。
回顾了先前与宫腔镜检查相关的腹膜肿瘤播散的报道。在该病例中，宫腔镜子宫内膜活检期间的肿瘤栓塞并未导致肿瘤复发。
Zotero 插件