Watanabe Hideki, Harada Naoya, Nobuhara Ichiro, Haruta Noriko, Higashiura Yumi, Watanabe Shioka
Department of Obstetrics and Gynecology, Nara City Hospital, 1-50-1 Higashikidera-cho, Nara City, Nara Prefecture 630-8305, Japan.
Case Rep Obstet Gynecol. 2018 Jan 31;2018:9685683. doi: 10.1155/2018/9685683. eCollection 2018.
To our knowledge, highly detailed findings of flexible hysterofiberscopy in patients with adenofibroma have not been described. A 75-year-old nulliparous asymptomatic woman presented with a uterine polyp, which exhibited punctate heterogeneous hyperintensity or islands of isointense-to-hypointense signals on T2-weighted magnetic resonance imaging (MRI), hypointense signals on T1-weighted images (T1WI), and a little enhancement on contrast-enhanced T1WI. Flexible hysterofiberscopy revealed a red-pink polyp with a white-yellow, cobblestone-like surface easily deformed by perfusion fluid. The tumor was diagnosed histologically as an adenofibroma. Total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed. The tumor in the uterus was necrotic macroscopically and histologically, and a residual adenofibroma could not be confirmed. At present, two years after surgery, the patient remains healthy. MRI and hysterofiberscopy can reveal the histological features of uterine adenofibromas and be useful for their diagnosis.
据我们所知，尚未有关于腺纤维瘤患者经阴道子宫纤维内镜检查的详细结果的描述。一名75岁未生育的无症状女性因子宫息肉就诊，该息肉在T2加权磁共振成像（MRI）上表现为点状不均匀高信号或等信号至低信号岛，在T1加权图像（T1WI）上为低信号，在增强T1WI上有轻度强化。经阴道子宫纤维内镜检查发现一个红粉色息肉，表面呈白黄色鹅卵石样，易被灌注液变形。肿瘤经组织学诊断为腺纤维瘤。行全腹子宫切除术和双侧输卵管卵巢切除术。子宫内的肿瘤在宏观和组织学上均为坏死性，未证实有残留的腺纤维瘤。目前，术后两年，患者保持健康。MRI和经阴道子宫纤维内镜检查可揭示子宫腺纤维瘤的组织学特征，对其诊断有帮助。
