原发性子宫内膜样腺癌合并子宫内膜结核。病例报告。
Primary endometrioid adenocarcinoma with coexisting endometrial tuberculosis. A case report.
作者信息
Saygili Uğur, Guclu Serkan, Altunyurt Sabahattin, Koyuncuoglu Meral, Onvural Ata
机构信息
Departments of Obstetrics and Gynecology and of Pathology, Dokuz Eylül University School of Medicine, Izmir, Turkey.
出版信息
J Reprod Med. 2002 Apr;47(4):322-4.
BACKGROUND
The most important cause of postmenopausal bleeding is endometrial cancer, whereas genital tuberculosis is uncommon in this age group. The association of these two disorders is extremely rare.
CASE
Endometrial curettings performed on a 63-year-old woman with a bloody vaginal discharge and thickened endometrium disclosed complex atypical hyperplasia and granulomatous inflammation with caseation necrosis. The uterus contained a well-differentiated endometrial adenocarcinoma with squamous differentiation invading about one-half the myometrial thickness and granulomatous inflammation with caseation necrosis. The lymph nodes were free of disease.
CONCLUSION
Although the coexistence of endometrial cancer and tuberculosis is extremely rare, it may occur in patients who live in the regions with a high prevalence of tuberculosis.
背景
绝经后出血的最重要原因是子宫内膜癌，而生殖器结核在该年龄组并不常见。这两种疾病的关联极为罕见。
病例
对一名63岁有血性白带和子宫内膜增厚的女性进行子宫内膜刮宫，结果显示复杂的非典型增生和伴有干酪样坏死的肉芽肿性炎症。子宫内有一个高分化的伴有鳞状分化的子宫内膜腺癌，侵犯约一半的肌层厚度，并有伴有干酪样坏死的肉芽肿性炎症。淋巴结无病变。
结论
虽然子宫内膜癌和结核并存极为罕见，但可能发生在结核病高发地区的患者中。
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