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本文引用的文献

1
Primary Ovarian Clear Cell Adenofibroma of Borderline Malignancy.交界性原发性卵巢透明细胞腺纤维瘤
Oman Med J. 2012 Jan;27(1):e031. doi: 10.5001/omj.2012.20.
2
The association between endometriosis and ovarian cancer: a review of histological, genetic and molecular alterations.子宫内膜异位症与卵巢癌的关联：组织学、遗传学和分子改变的综述。
Gynecol Oncol. 2012 Jan;124(1):164-9. doi: 10.1016/j.ygyno.2011.10.001. Epub 2011 Oct 26.
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Mixed adenocarcinoma of the rectovaginal septum associated with endometriosis and endometrial carcinoma: a case report.
Case Rep Oncol. 2011 Jan;4(1):149-54. doi: 10.1159/000326067. Epub 2011 Mar 18.
4
Endometriosis in a postmenopausal woman without previous hormonal therapy: a case report.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
J Med Case Rep. 2009 Nov 18;3:135. doi: 10.1186/1752-1947-3-135.
5
Endometriosis mimicking advanced ovarian cancer.酷似晚期卵巢癌的子宫内膜异位症。
Fertil Steril. 2006 Jul;86(1):219.e23-5. doi: 10.1016/j.fertnstert.2005.12.044.
6
Pre and post operative medical therapy for endometriosis surgery.子宫内膜异位症手术的术前和术后药物治疗。
Cochrane Database Syst Rev. 2004;2004(3):CD003678. doi: 10.1002/14651858.CD003678.pub2.
7
Recurrence of endometriosis in women with bilateral adnexectomy (with or without total hysterectomy) who received hormone replacement therapy.接受激素替代疗法的双侧附件切除术（伴或不伴全子宫切除术）女性子宫内膜异位症的复发情况。
Fertil Steril. 2002 Feb;77(2):303-8. doi: 10.1016/s0015-0282(01)02981-8.
8
Comparison of transdermal estradiol and tibolone for the treatment of oophorectomized women with deep residual endometriosis.经皮雌二醇与替勃龙治疗卵巢切除术后深部残留子宫内膜异位症女性的比较。
Maturitas. 1999 Aug 16;32(3):189-93. doi: 10.1016/s0378-5122(99)00032-8.
9
Postmenopausal endometriosis.绝经后子宫内膜异位症
Eur J Obstet Gynecol Reprod Biol. 1980 Dec;11(3):195-200. doi: 10.1016/0028-2243(80)90069-6.

手术绝经后子宫内膜异位症酷似盆腔恶性肿瘤：外科医生的困境

Endometriosis after surgical menopause mimicking pelvic malignancy: surgeons' predicament.

作者信息

Bhat Rani A, Teo Melissa, Bhat Akhil Krishnanand

机构信息

Consultant Gynaecological Oncologist HCG Oncology No. 8, P Kalinga Rao Road Sampangi Ramnagar Bangalore - 560027. India.

Senior Consultant, Department of Surgical Oncology, National Cancer Centre Singapore, Singapore.

出版信息

Oman Med J. 2014 May;29(3):226-31. doi: 10.5001/omj.2014.56.

DOI:10.5001/omj.2014.56
PMID:24936277
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4052395/
Abstract

Prevalence of persistent endometriosis in women after menopause without any hormonal replacement therapy is very rare. This is a case of a woman with previous history of total hysterectomy and bilateral salpingo-oophorectomy for endometriosis who presented with hemoperitoneum, vaginal bleeding, pelvic mass, and pulmonary thromboembolism mimicking as rectovaginal septum carcinoma. This is the first case report with a unique mode of presentation wherein the patient presented with hemoperitoneum requiring emergency embolization of the vessel to stabilize the patient. She underwent en bloc resection of the tumor with high anterior resection of the rectum. Histopathology confirmed endometriosis.

摘要

在未接受任何激素替代疗法的绝经后女性中，持续性子宫内膜异位症的患病率非常低。这是一例既往因子宫内膜异位症接受全子宫切除术和双侧输卵管卵巢切除术的女性患者，她出现了腹腔积血、阴道出血、盆腔肿块以及疑似直肠阴道隔癌的肺血栓栓塞。这是首例具有独特表现方式的病例报告，该患者出现腹腔积血，需要紧急进行血管栓塞以稳定病情。她接受了肿瘤整块切除及直肠高位前切除术。组织病理学证实为子宫内膜异位症。