Nasu K, Miyazaki T, Takai N, Miyakawa I
Department of Obstetrics and Gynecology, Oita Medical University, Oita, Japan.
Int J Gynecol Cancer. 2001 Jul-Aug;11(4):326-8. doi: 10.1046/j.1525-1438.2001.011004326.x.
We report a case of an atypical polypoid adenomyoma in a patient with hyperprolactinemia. A 23-year-old Japanese woman was admitted complaining of atypical genital bleeding. Specula examination revealed a walnut-size polypoid mass extruding from the cervix. The patient was oligomenorrheac, and endocrine analysis showed hyperprolactinemia. Transvaginal ultrasonography and magnetic resonance imaging revealed an endometrial polypoid mass (4 x 3 x 3 cm) arising from the lower segment of the uterine corpus. The pathologic diagnosis of the tumor after polypectomy was atypical polypoid adenomyoma. It is suggested that ovarian dysfunction caused by hyperprolactinemia may be involved in the pathogenesis of atypical polypoid adenomyoma in the present case.
我们报告一例患有高催乳素血症的患者发生非典型息肉样腺肌瘤的病例。一名23岁的日本女性因非典型生殖器出血入院。窥器检查发现一个核桃大小的息肉样肿物从宫颈突出。该患者月经过少，内分泌分析显示高催乳素血症。经阴道超声检查和磁共振成像显示子宫体下段有一个子宫内膜息肉样肿物（4×3×3厘米）。息肉切除术后肿瘤的病理诊断为非典型息肉样腺肌瘤。提示本病例中高催乳素血症引起的卵巢功能障碍可能参与了非典型息肉样腺肌瘤的发病机制。
