Phadnis Saurabh V, Doshi Jagruti S, Ogunnaike Oluyemisi, Coady Andrew, Padwick Malcolm, Sanusi F A
Department of Obstetrics and Gynaecology, West Hertfordshire Hospitals NHS Trust, Vicarage Road, Watford, WD18 0HB, United Kingdom.
Arch Gynecol Obstet. 2005 Oct;272(4):289-93. doi: 10.1007/s00404-005-0006-1. Epub 2005 Oct 13.
Cervical endometriosis is usually a retrospective finding on histology. We describe the diverse symptomatology of the disease, wherein a suspicion of diagnosis may be raised. A series of five patients with cervical endometriosis confirmed on histology was identified. One patient was asymptomatic but examination revealed a mass arising from the cervix. Two patients presented with persistent postcoital bleeding, one patient with intermenstrual bleeding and one patient with both intermenstrual and postcoital bleeding. All patients were followed up with colposcopy and cervical biopsy. Persistence of symptoms determined the mode of treatment which included surgical management in the form of large loop excision of the transformation zone (LLETZ) biopsy in four patients. Cervical endometriosis is a benign condition which may present with symptoms such as persistent post-coital bleeding or intermenstrual bleeding. Colposcopy and cervical biopsy are pivotal to the diagnosis. This condition can be managed expectantly in asymptomatic patients and persistent symptoms may warrant surgery.
宫颈子宫内膜异位症通常是组织学上的回顾性发现。我们描述了该疾病的多种症状表现，借此提高对其诊断的怀疑。我们确定了一组经组织学确诊的5例宫颈子宫内膜异位症患者。1例患者无症状，但检查发现宫颈有肿物。2例患者表现为性交后持续出血，1例患者表现为经间期出血，1例患者同时有经间期和性交后出血。所有患者均接受了阴道镜检查和宫颈活检。症状持续情况决定了治疗方式，其中4例患者接受了转化区大环形切除术（LLETZ）活检等手术治疗。宫颈子宫内膜异位症是一种良性疾病，可能表现为性交后持续出血或经间期出血等症状。阴道镜检查和宫颈活检对诊断至关重要。无症状患者可进行观察等待，而持续症状可能需要手术治疗。
