Long L
Capital institute of Medicine, Xuanwu Hospital, Beijing.
Zhonghua Fu Chan Ke Za Zhi. 1992 Jul;27(4):206-8, 249.
This paper reports 24 cases of genital organic diseases which were misdiagnosed as dysfunctional uterine bleeding during 1984-1990. These include small submucous uterine myoma 5 cases, Granulosa cell tumor of ovary 2 cases, leiomyosarcoma of uterus 1 case, ectopic pregnancy 7 cases, carcinoma of endometrium 4 cases, abortion 3 cases, choriocarcinoma 2 cases, altogether there were 9 patients with malignant tumors in the series. The author point out that it is possible to reduce the misdiagnosis rate by emphasizing history, diagnostic curettage, ultrasonography, hysteroscopy and blood hCG determination.
本文报道了1984年至1990年间24例被误诊为功能失调性子宫出血的生殖器器质性疾病。其中包括黏膜下小子宫肌瘤5例，卵巢颗粒细胞瘤2例，子宫平滑肌肉瘤1例，异位妊娠7例，子宫内膜癌4例，流产3例，绒毛膜癌2例，该系列中共有9例恶性肿瘤患者。作者指出，通过重视病史、诊断性刮宫、超声检查、宫腔镜检查和血hCG测定，有可能降低误诊率。
