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在虚拟结肠镜检查研究中，结肠子宫内膜异位症酷似结肠癌：诊断中的一个潜在陷阱。

Colonic endometriosis mimicking colon cancer on a virtual colonoscopy study: a potential pitfall in diagnosis.

作者信息

Samet Jonathan D, Horton Karen M, Fishman Elliot K, Hruban Ralph H

机构信息

Department of Radiology, Northwestern Medical Faculty Foundation, Chicago, IL 60611, USA.

出版信息

Case Rep Med. 2009;2009:379578. doi: 10.1155/2009/379578. Epub 2009 Nov 8.

DOI:10.1155/2009/379578
PMID:19902007
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2774483/
Abstract

Colonic endometriosis has been reported in the literature to mimic colon cancer. Patients can present with symptoms almost identical to colon cancer. We present an exemplary case of a woman who was found to have a mass on conventional colonoscopy. Virtual colonoscopy was instrumental in characterizing the obstructive sigmoid mass. A biopsy of the mass revealed sigmoid endometriosis.

摘要

文献报道结肠子宫内膜异位症可酷似结肠癌。患者可能出现与结肠癌几乎相同的症状。我们呈现了一个典型病例，一名女性在常规结肠镜检查时发现有肿物。虚拟结肠镜检查有助于明确乙状结肠梗阻性肿物的特征。肿物活检显示为乙状结肠子宫内膜异位症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f7/2774483/04b51746ecce/CRM2009-379578.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f7/2774483/be3f626b26af/CRM2009-379578.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f7/2774483/8c1a6b41fdd6/CRM2009-379578.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f7/2774483/d083d6dfb64f/CRM2009-379578.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f7/2774483/04b51746ecce/CRM2009-379578.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f7/2774483/be3f626b26af/CRM2009-379578.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f7/2774483/8c1a6b41fdd6/CRM2009-379578.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f7/2774483/d083d6dfb64f/CRM2009-379578.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6f7/2774483/04b51746ecce/CRM2009-379578.004.jpg

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本文引用的文献

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An unusual rectosigmoid mass: endometrioid adenocarcinoma arising in colonic endometriosis: case report and literature review.一例罕见的直肠乙状结肠肿物：结肠子宫内膜异位症中发生的子宫内膜样腺癌：病例报告及文献复习
Am Surg. 2005 Aug;71(8):694-7.
2
Incidence of laparoscopically confirmed endometriosis by demographic, anthropometric, and lifestyle factors.经腹腔镜确诊的子宫内膜异位症的发病率与人口统计学、人体测量学和生活方式因素的关系
Am J Epidemiol. 2004 Oct 15;160(8):784-96. doi: 10.1093/aje/kwh275.
3
A case of sigmoid endometriosis difficult to differentiate from colon cancer.
一例难以与结肠癌鉴别的乙状结肠子宫内膜异位症病例。
BMC Gastroenterol. 2003 Aug 7;3:18. doi: 10.1186/1471-230X-3-18.
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Sigmoid endometriosis in a postmenopausal woman.一名绝经后女性的乙状结肠子宫内膜异位症。
Am J Obstet Gynecol. 2002 Dec;187(6):1723-5. doi: 10.1067/mob.2002.128394.
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Endometriosis causing extensive intestinal obstruction simulating carcinoma of the sigmoid colon: a case report and review of the literature.子宫内膜异位症导致广泛肠梗阻，酷似乙状结肠癌：一例报告并文献复习
Eur J Gynaecol Oncol. 2002;23(4):353-7.
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[Sigmoid occlusion due to endometriosis. A case report].[子宫内膜异位症导致乙状结肠梗阻。病例报告]
G Chir. 2001 Oct;22(10):333-6.
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Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 13-2000. A 26-year-old woman with bouts of abdominal pain, vomiting, and diarrhea.马萨诸塞州总医院病例记录。每周临床病理讨论。病例13 - 2000。一名26岁女性，伴有腹痛、呕吐和腹泻发作。
N Engl J Med. 2000 Apr 27;342(17):1272-8. doi: 10.1056/NEJM200004273421708.
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Acute intestinal obstruction caused by endometriosis mimicking sigmoid carcinoma.子宫内膜异位症所致急性肠梗阻酷似乙状结肠癌。
Acta Gastroenterol Belg. 1998 Jul-Sep;61(3):376-8.
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Extrapelvic endometriosis.盆腔外子宫内膜异位症。
Obstet Gynecol Clin North Am. 1997 Jun;24(2):411-40. doi: 10.1016/s0889-8545(05)70311-9.
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Case records of the Massachusetts general hospital. Weekly clinicopathological exercises. Case 28-1996. A 45-year-old woman with abdominal pain and a polypoid mass in the colon.
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