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病例研究:宫颈管内血吸虫病,一种罕见的局部定位。

Case Study: Schistosomiasis of the Endocervical Canal, A Rarely Reported Localization.

机构信息

Department of Gynecology and Obstetrics, Gynecology Division, Geneva University Hospitals (M.D., R.C., M.V., P.P., P.V.) Geneva Foundation for Medical Education and Research (P.V), Geneva, Switzerland Saint Damien Healthcare Centre, Ambanja, Madagascar (J.L.H.).

出版信息

Int J Gynecol Pathol. 2020 May;39(3):301-304. doi: 10.1097/PGP.0000000000000610.

Abstract

With a challenging diagnosis, schistosomiasis is a major public health issue worldwide, particularly in low-resource countries. The presence of Schistosoma ova in the female genital tract is a common finding, which may engender considerable suffering among women of child-bearing age. We report the asymptomatic case of endocervical schistosomiasis without visible exocervical lesions in a 41-yr-old Malagasy woman with human papillomavirus-positive status detected during a cervical cancer screening campaign in Andilampanahy, Madagascar. Schistosomiasis involving only the endocervical canal is rarely reported and can be diagnosed histologically with endocervical brushing, which therefore represents a minimally invasive and well-tolerated tool for disease detection.

摘要

在面临具有挑战性的诊断时,血吸虫病是全球范围内的一个主要公共卫生问题,特别是在资源匮乏的国家。女性生殖道中存在血吸虫卵是一种常见现象,可能会给育龄妇女带来极大的痛苦。我们报告了一例无症状的宫颈内血吸虫病病例,该病例发生于一名 41 岁的马达加斯加妇女,她的人乳头瘤病毒检测呈阳性,是在马达加斯加安提拉帕纳哈伊的一次宫颈癌筛查活动中发现的。仅涉及宫颈内口的血吸虫病很少见,可通过宫颈内刷取活检组织进行病理诊断,因此,这是一种微创且耐受性良好的疾病检测工具。

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