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宫颈内膜异位症的诊断困境

Diagnostic dilemma in cervical endocervicosis.

作者信息

Lee Seung Hyun, Park Jung-Woo, Oh So Ra, Rha Seo Hee

机构信息

Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Busan, Korea.

Department of Pathology, Dong-A University College of Medicine, Busan, Korea.

出版信息

Obstet Gynecol Sci. 2017 Jul;60(4):396-400. doi: 10.5468/ogs.2017.60.4.396. Epub 2017 Jul 14.

Abstract

Müllerianosis is an embryonic Müllerian disease, resulting in the formation of the benign diseases adenomyosis, endometriosis, endosalpingiosis, and endocervicosis. Endocervicosis primarily affects the bladder, and rarely the cervix. Cervical endocervicosis, which is also a pseudoneoplastic glandular lesion, could be misinterpreted as a premalignant or even a malignant lesion. Because the treatment of these diseases is very different, early clinical diagnosis is important. Unfortunately, however, this lesion is difficult to diagnose preoperatively using clinical and radiological information, and pathological confirmation is needed. Herein, we report a rare case of cervical endocervicosis that was difficult to diagnosis preoperatively.

摘要

苗勒管异常是一种胚胎期苗勒管疾病,可导致子宫腺肌病、子宫内膜异位症、输卵管内膜异位症和宫颈内膜异位症等良性疾病的形成。宫颈内膜异位症主要累及膀胱,很少累及宫颈。宫颈内膜异位症也是一种假肿瘤性腺性病变,可能被误诊为癌前病变甚至恶性病变。由于这些疾病的治疗方法差异很大,早期临床诊断很重要。然而,不幸的是,这种病变术前很难通过临床和影像学信息进行诊断,需要病理证实。在此,我们报告一例术前难以诊断的罕见宫颈内膜异位症病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bfba/5547091/ed177f296c2b/ogs-60-396-g001.jpg

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