Piette J C, Bourgault I, Legrain S, Tranbaloc P, Janse-Marec J, Chomette G, Godeau P
Am J Med. 1987 Apr;82(4):836-8. doi: 10.1016/0002-9343(87)90025-8.
A 61-year-woman was referred because of declining general health. A diagnosis of uterine malignancy was suspected on the basis of uterine enlargement and an elevated erythrocyte sedimentation rate. Hysterectomy was performed, and histologic examination revealed necrotizing vasculitis affecting the ovaries, fallopian tube, and uterus. Muscle biopsy showed typical periarteritis nodosa lesions. Despite the scarcity of such cases, the incidental finding of necrotizing arteritis in a surgical uterine specimen warrants further investigation to determine if the vasculitic process is localized.
一名61岁女性因全身健康状况下降前来就诊。根据子宫增大和红细胞沉降率升高，怀疑患有子宫恶性肿瘤。进行了子宫切除术，组织学检查显示坏死性血管炎累及卵巢、输卵管和子宫。肌肉活检显示典型的结节性多动脉炎病变。尽管此类病例罕见，但在手术切除的子宫标本中偶然发现坏死性动脉炎仍需进一步检查，以确定血管炎过程是否局限。
