Funada Rina, Adachi Kazushige, Yamamoto Yoshimitsu, Nakamichi Itsuko
Department of Obstetrics and Gynecology, Minoh City Hospital, Osaka, Japan.
Department of Pathology, Minoh City Hospital, Osaka, Japan.
Gynecol Minim Invasive Ther. 2020 Apr 28;9(2):95-97. doi: 10.4103/GMIT.GMIT_65_19. eCollection 2020 Apr-Jun.
Cervical occlusion is a rare but serious complication after conization of the uterine cervix. We report on a 69-year-old woman with cervical intraepithelial neoplasia (CIN) 2, who successfully underwent follow-up biopsy of an occluded cervical canal after conization using a disposable skin biopsy punch. The disposable skin biopsy punch was inserted into a slight dimple, which was considered a uterine os, in the direction of the cervical canal, and a sample of tissue was obtained from the occluded portion. This procedure was performed without anesthesia and was completed uneventfully. Histological examination of the excised tissue revealed CIN 3. In addition, the procedure resulted in recanalization of the occluded cervical canal. The occlusion was limited in the external portion of the cervical os and attributed to adhesion of scar tissue during the healing process. Our experience suggests that a disposable skin biopsy punch can be used for follow-up biopsy and recanalization in patients with cervical occlusion after conization as a less invasive approach.
宫颈管阻塞是宫颈锥切术后一种罕见但严重的并发症。我们报告了一名69岁患有宫颈上皮内瘤变2级（CIN 2）的女性患者，她在宫颈锥切术后使用一次性皮肤活检打孔器成功对阻塞的宫颈管进行了随访活检。将一次性皮肤活检打孔器沿宫颈管方向插入一个被认为是子宫口的轻微凹陷处，从阻塞部位获取了组织样本。该操作未使用麻醉，顺利完成。对切除组织的组织学检查显示为CIN 3。此外，该操作使阻塞的宫颈管再通。阻塞局限于宫颈外口部分，是由于愈合过程中瘢痕组织粘连所致。我们的经验表明，一次性皮肤活检打孔器可作为一种侵入性较小的方法，用于宫颈锥切术后宫颈管阻塞患者的随访活检和再通。
