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表现为外阴肿物的耻骨联合下软骨囊性病变:病例报告

Subpubic cartilaginous cystic lesion presenting as a vulvar mass: a case report.

作者信息

Hoogendoorn Rjw, Kayser Hwm, Weening Jj, van Geloven Aaw

出版信息

J Med Case Rep. 2009 May 29;3:7294. doi: 10.1186/1752-1947-3-7294.

DOI:10.1186/1752-1947-3-7294
PMID:19830169
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2726552/
Abstract

INTRODUCTION

A subpubic cartilaginous cyst is a rare and innocent defect originating from the symphysis pubis and may present as a vulvar mass and/or chronic abdominal pain. The symphysis pubis is a non-synovial amphiarthrodial joint that forms a fibrocartilaginous union between the two pubic bones and in general lies without mainstream interest, despite its clinical relevance. This case report focuses attention on this joint.

CASE PRESENTATION

A 55-year-old Caucasian woman presented with a painful and rapidly increasing vulvar mass. Imaging techniques revealed a cyst-like structure originating from a degenerated symphysis pubis. The cyst was excised, however, recovery was complicated by a symphysiolysis.

CONCLUSION

A subpubic cartilaginous cyst is a rare cystic lesion originating from the symphysis of the pubic bone which presents as a vulvar mass which might be complicated by symphysiolysis. Several diseases affect the symphysis pubis and result in significant discomfort and disability in patients. The symphysis pubis is therefore clinically important and should not be omitted in the differential diagnosis of a vulvar mass and/or chronic abdominal pain.

摘要

引言

耻骨下软骨囊肿是一种罕见的良性病变,起源于耻骨联合,可表现为外阴肿物和/或慢性腹痛。耻骨联合是一个非滑膜性微动关节,在两块耻骨之间形成纤维软骨连接,尽管具有临床相关性,但一般未受到主流关注。本病例报告聚焦于该关节。

病例介绍

一名55岁的白种女性因外阴肿物疼痛且迅速增大前来就诊。影像学检查显示一个源于耻骨联合退变的囊肿样结构。囊肿被切除,但恢复过程因耻骨联合分离而变得复杂。

结论

耻骨下软骨囊肿是一种罕见的源于耻骨联合的囊性病变,表现为外阴肿物,可能并发耻骨联合分离。多种疾病可影响耻骨联合,给患者带来明显不适和功能障碍。因此,耻骨联合在临床上具有重要意义,在对外阴肿物和/或慢性腹痛进行鉴别诊断时不应被忽视。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/504c/2726552/b2ec0242a8e5/1752-1947-0003-0000007294-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/504c/2726552/269916f294b7/1752-1947-0003-0000007294-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/504c/2726552/b2ec0242a8e5/1752-1947-0003-0000007294-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/504c/2726552/269916f294b7/1752-1947-0003-0000007294-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/504c/2726552/b2ec0242a8e5/1752-1947-0003-0000007294-2.jpg

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