Oladipo Abiodun, Mathew Joseph
Department of Obstetrics and Gynecology, Royal Cornwall Hospital, Truro, Cornwall, United Kingdom.
J Low Genit Tract Dis. 2005 Jan;9(1):52-4. doi: 10.1097/00128360-200501000-00010.
This report describes the case of a patient with clinically antepartum hemorrhage and a colposcopic lesion resembling invasive cervical cancer. A 28-year-old patient sought treatment at 28 weeks of pregnancy with significant antepartum hemorrhage, clinically thought to be a result of placenta previa or abruptio placenta. Colposcopy showed a lesion resembling an invasive cervical cancer for which a biopsy was taken. Abnormal placentation was ruled out by ultrasound examination of the uterus. Histologic analysis showed a cervical decidual reaction with focal surface ulceration accounting for the cervical growth and hemorrhage. We describe an unusual cause of significant intrapartum hemorrhage attributable to cervical decidual reaction, mimicking abnormal placentation clinically and invasive cervical cancer colposcopically.
本报告描述了一例临床上有产前出血且阴道镜检查发现类似浸润性宫颈癌病变的患者。一名28岁患者在妊娠28周时因大量产前出血前来就诊，临床上认为这是前置胎盘或胎盘早剥所致。阴道镜检查发现一个类似浸润性宫颈癌的病变，并进行了活检。子宫超声检查排除了胎盘植入异常。组织学分析显示宫颈蜕膜反应伴局灶性表面溃疡，这是导致宫颈肿物和出血的原因。我们描述了一种导致严重产时出血的不寻常原因，即宫颈蜕膜反应，临床上模拟胎盘植入异常，阴道镜下类似浸润性宫颈癌。
