非产褥期子宫内翻合并子宫内膜癌——一例报告
Non-puerperal uterine inversion associated with endometrial carcinoma--a case report.
作者信息
Oguri Hiroyoshi, Maeda Nagamasa, Yamamoto Yorito, Wakatsuki Akihiko, Fukaya Takao
机构信息
Department of Aging and Reproductive Medicine, Kochi Medical School, Kohasu, Okocho, Nankoku, Kochi 783-8505, Japan.
出版信息
Gynecol Oncol. 2005 Jun;97(3):973-5. doi: 10.1016/j.ygyno.2005.02.023. Epub 2005 Apr 15.
BACKGROUND
Non-puerperal uterine inversion is rare, and a case associated with endometrial carcinoma is even rarer. It is difficult to diagnose the condition preoperatively and most cases are diagnosed at surgery.
CASE
We describe a case of uterine inversion associated with endometrial carcinoma. Initially, the patient was thought to have a cervical adenocarcinoma and treated with chemotherapy; however, a diagnosis of uterine inversion was made with magnetic resonance imaging (MRI) and ultrasonography during pre-surgical chemotherapy. We performed total abdominal hysterectomy, bilateral salpingo-oophorectomy, and bilateral pelvic lymphadenectomy.
CONCLUSION
MRI and ultrasonography can be extremely useful tools for diagnosing uterine inversion.
背景
非产褥期子宫内翻罕见，与子宫内膜癌相关的病例更是罕见。术前诊断该病困难，多数病例在手术时才得以诊断。
病例
我们描述一例与子宫内膜癌相关的子宫内翻病例。起初，该患者被认为患有宫颈腺癌并接受了化疗；然而，在术前化疗期间通过磁共振成像（MRI）和超声检查确诊为子宫内翻。我们实施了全腹子宫切除术、双侧输卵管卵巢切除术和双侧盆腔淋巴结清扫术。
结论
MRI和超声检查对于诊断子宫内翻可能是极为有用的工具。
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