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盆腔腹膜及盆腔淋巴结内的输卵管内膜异位症

[Endosalpingosis in the pelvic peritoneum and pelvic lymph nodes].

作者信息

Tohya T, Nakamura M, Fukumatsu Y, Katabuchi H, Matsuura K, Itoh M, Okamura H

机构信息

Department of Obstetrics and Gynecology, Kumamoto University Medical School.

出版信息

Nihon Sanka Fujinka Gakkai Zasshi. 1991 Jul;43(7):756-62.

PMID:1890353
Abstract

The pelvic peritoneum with macroscopic findings characteristic of endometriosis was biopsied in 18 cases at conservative surgery for endometriosis and examined. Pelvic lymph nodes removed in 76 cases at radical surgery for uterine cervical, corpus cancer or ovarian cancer patients were examined. In 3 of the 18 cases, endosalpingiosis was encountered in the pelvic peritoneum. In 2 of these 3 cases combined lesions of endometriosis and endosalpingiosis were observed. On the other hand, in 4 of the 76 patients with gynecological malignancies, benign glandular inclusions were found in pelvic lymph nodes. In 3 of these 4 patients, there was endosalpingiosis, and another there was endometriosis. Endosalpingiosis is an interesting lesion offering some clues to the histogenesis of endometriosis, and important in the differential diagnosis of malignant tumors.

摘要

在18例因子宫内膜异位症接受保守手术的患者中,对具有子宫内膜异位症宏观特征的盆腔腹膜进行活检并检查。对76例因子宫颈癌、子宫体癌或卵巢癌接受根治性手术的患者所切除的盆腔淋巴结进行检查。在18例中的3例,盆腔腹膜中发现输卵管内膜异位。在这3例中的2例,观察到子宫内膜异位症与输卵管内膜异位的合并病变。另一方面,在76例妇科恶性肿瘤患者中的4例,盆腔淋巴结中发现良性腺性包涵体。在这4例中的3例,存在输卵管内膜异位,另一例存在子宫内膜异位。输卵管内膜异位是一种有趣的病变,为子宫内膜异位症的组织发生提供了一些线索,并且在恶性肿瘤的鉴别诊断中很重要。

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