一名未接受过激素治疗的绝经后女性的子宫内膜异位症：病例报告
Endometriosis in a postmenopausal woman without previous hormonal therapy: a case report.
作者信息
Manero Manuel García, Royo Pedro, Olartecoechea Begoña, Alcázar Juan Luis
机构信息
Department of Obstetrics and Gynecology, Clínica Universitaria de Navarra, Avenida Pío XII, 36, 31008 Pamplona, Spain.
出版信息
J Med Case Rep. 2009 Nov 18;3:135. doi: 10.1186/1752-1947-3-135.
Abstract
INTRODUCTION
The prevalence of pelvic endometriosis is high, affecting approximately 6% to 10% of women of reproductive age. Although endometriosis has been associated with the occurrence of menstrual cycles, it can affect between 2% to 5% of postmenopausal women.
CASE PRESENTATION
We present a case of ovarian endometriosis in a 62-year-old Spanish Caucasian woman with no previous use of hormonal therapy and no history of endometriosis or infertility.
CONCLUSION
ALTHOUGH THE REPORTED SITUATION IS RARE, IT IS IMPORTANT TO BE AWARE OF ENDOMETRIOSIS AFTER THE MENOPAUSE: post-menopausal endometriosis confers a risk of recurrence and malignant transformation.
摘要
引言
盆腔子宫内膜异位症的患病率很高，影响约6%至10%的育龄妇女。虽然子宫内膜异位症与月经周期的发生有关，但它可影响2%至5%的绝经后妇女。
病例报告
我们报告一例62岁西班牙白种女性的卵巢子宫内膜异位症，该患者既往未使用过激素治疗，无子宫内膜异位症或不孕史。
结论
尽管所述情况罕见，但认识到绝经后子宫内膜异位症很重要：绝经后子宫内膜异位症有复发和恶变风险。
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本文引用的文献
1
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Eur J Obstet Gynecol Reprod Biol. 2008 Jun;138(2):187-93. doi: 10.1016/j.ejogrb.2007.06.017. Epub 2007 Dec 26.
2
Postmenopausal endometriosis.
Acta Obstet Gynecol Scand. 2007 Oct;86(10):1158-64. doi: 10.1080/00016340701619407.
3
Vesical and vaginal recurrent endometriosis in postmenopause following estrogen replacement therapy.
Eur J Obstet Gynecol Reprod Biol. 2005 Feb 1;118(2):265-6. doi: 10.1016/j.ejogrb.2004.04.028.
4
Endometriosis of the liver containing mullerian adenosarcoma: case report.
Am J Obstet Gynecol. 2004 Nov;191(5):1725-7. doi: 10.1016/j.ajog.2004.05.031.
5
Endometriosis arising during estrogen and testosterone treatment 17 years after abdominal hysterectomy: a case report.
Maturitas. 2003 Nov 20;46(3):239-41. doi: 10.1016/s0378-5122(03)00081-1.
6
Endometriosis and ovarian cancer: thoughts on shared pathophysiology.
Am J Obstet Gynecol. 2003 Jul;189(1):280-94. doi: 10.1067/mob.2003.408.
7
Prevalence of endometriosis in malignant epithelial ovary tumours.
Eur J Obstet Gynecol Reprod Biol. 2003 Jul 1;109(1):97-101. doi: 10.1016/s0301-2115(03)00047-2.
8
Extensive pelvic endometriosis with malignant change in tamoxifen-treated postmenopausal women.
Int J Gynecol Cancer. 2003 May-Jun;13(3):376-80. doi: 10.1046/j.1525-1438.2003.13188.x.
9
Therapeutic effect of angiostatin gene transfer in a murine model of endometriosis.
Am J Pathol. 2002 Sep;161(3):909-18. doi: 10.1016/S0002-9440(10)64251-4.
10
Endometriosis-associated invasive adenocarcinoma involving the rectum in a postmenopausal female: report of a case.
Dis Colon Rectum. 2001 Oct;44(10):1530-3. doi: 10.1007/BF02234612.
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