Scrimin F, Magoga G, Di Lorenzo G, Romano F, De Angelis M C, Vitagliano A, Crugno J, Di Spiezio Sardo A
Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy.
Istituto di Ginecologia e Obstetricia, Università Cattolica del Sacro Cuore, Rome, Italy.
Facts Views Vis Obgyn. 2019 Sep;11(3):257-260.
Primary extranodal marginal zone B-cell lymphomas (MALToma) of the endometrium are rare tumors. We report a case of MALToma diagnosed within an endometrial polyp in a patient presenting with postmenopausal vaginal bleeding. The patient underwent a conventional hysteroscopic procedure for intrauterine polyps. There was no suspicion of malignancy during the preoperative investigations or at surgery. Conventional bipolar resection of the polyps was performed. The present case demonstrates that conservative management of endometrial MALToma may be considered as a safe alternative to hysterectomy. Further data on long-term follow up is needed to confirm the safety of this conservative approach.
子宫内膜原发性结外边缘区B细胞淋巴瘤（黏膜相关淋巴组织淋巴瘤）是罕见肿瘤。我们报告1例在出现绝经后阴道出血的患者子宫内膜息肉内诊断出的黏膜相关淋巴组织淋巴瘤病例。该患者因子宫内息肉接受了传统宫腔镜手术。术前检查或手术时均未怀疑有恶性肿瘤。对息肉进行了传统双极切除术。本病例表明，子宫内膜黏膜相关淋巴组织淋巴瘤的保守治疗可被视为子宫切除术的一种安全替代方案。需要更多长期随访数据来证实这种保守方法的安全性。
