Bedrick Bronwyn S, Kazarian Gregory S, Greenwade Molly M, Spies Nick, Chen Tiffany, Maluf Horacio, Dicke Jeffrey, Thaker Premal H
Washington University School of Medicine, St. Louis, MO, USA.
Division of Gynecologic Oncology, Washington University School of Medicine, St. Louis, MO, USA.
Gynecol Oncol Rep. 2020 Apr 23;32:100573. doi: 10.1016/j.gore.2020.100573. eCollection 2020 May.
•We present a case of atypical adenomyosis with clinical, laboratory, and imaging findings suggestive of a molar pregnancy.•Adenomyosis causes uterine enlargement and may appear cystic on vaginal ultrasound.•Falsely elevated β-hCG in the setting of obesity and hypothyroidism may complicate diagnosing abnormal uterine bleeding.
•我们报告一例非典型子宫腺肌病病例,其临床、实验室及影像学表现提示为葡萄胎妊娠。
•子宫腺肌病可导致子宫增大,经阴道超声检查时可能呈囊性。
•肥胖和甲状腺功能减退情况下β - hCG假性升高可能使异常子宫出血的诊断复杂化。