伴有结肠旁淋巴结受累的深部子宫内膜异位症：一例报告及文献复习
Deep endometriosis with pericolic lymph node involvement: a case report and literature review.
作者信息
Cacciato Insilla Andrea, Granai Monnalisa, Gallippi Grazia, Giusti Patrizia, Giusti Sabina, Guadagni Simone, Morelli Luca, Campani Daniela
机构信息
Andrea Cacciato Insilla, Monnalisa Granai, Grazia Gallippi, Daniela Campani, Department of Surgical Pathology, University Hospital of Pisa, 56124 Pisa, Italy.
出版信息
World J Gastroenterol. 2014 Jun 7;20(21):6675-9. doi: 10.3748/wjg.v20.i21.6675.
Abstract
Deep infiltrating endometriosis is an often-painful disorder affecting women during their reproductive years that usually involves the structures of the pelvis and frequently the gastrointestinal tract. We present the case of a 37-year-old female patient with an endometrial growth on the sigmoid colon wall causing pain, diarrhea and the presence of blood in the feces. The histology of the removed specimen also revealed the involvement of the utero-vesical fold, the recto-vaginal septum and a pericolic lymph node, which are all quite uncommon findings. To identify the endometrial cells, we performed immunohistochemical staining for CD10 and the estrogen and progesterone receptors.
摘要
深部浸润型子宫内膜异位症是一种常引发疼痛的疾病，影响处于生育年龄的女性，通常累及盆腔结构，且常累及胃肠道。我们报告一例37岁女性患者，其乙状结肠壁出现子宫内膜生长，导致疼痛、腹泻及粪便带血。切除标本的组织学检查还显示子宫膀胱皱襞、直肠阴道隔及结肠旁淋巴结均受累，这些都是相当罕见的发现。为识别子宫内膜细胞，我们进行了CD10、雌激素受体和孕激素受体的免疫组化染色。
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