Parkar Rafique B, Hassan M A, Otieno David, Baraza Richard
Consultant Obstetrician and Gynecologist, Specialist in Hysteroscopy and Laparoscopy, P.O. Box 520, Sarit Center, Nairobi, Kenya.
J Gynecol Endosc Surg. 2011 Jan;2(1):58-60. doi: 10.4103/0974-1216.85287.
A 43-year-old, who underwent a subtotal hysterectomy for postpartum hemorrhage following a normal delivery, 10 years ago, presented with a history of persistent vaginal discharge and post-coital bleeding. A pap smear reported moderate dysplasia, and a subsequent colposcopic biopsy reported severe dysplasia with crypt extension. The patient underwent a laparoscopic trachelectomy, and histology of the stump reported cervical squamous carcinoma in situ, with no microinvasion.
一名43岁女性，10年前因顺产产后出血接受了子宫次全切除术，现出现持续性阴道分泌物增多及性交后出血的症状。巴氏涂片报告为中度发育异常，随后的阴道镜活检报告为重度发育异常伴腺管延伸。该患者接受了腹腔镜宫颈切除术，残端组织学检查报告为宫颈原位鳞状癌，无微小浸润。
