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一例具有低回声半实性超声特征、酷似瘢痕子宫内膜异位症的会阴部巨大出血性表皮样囊肿

A Huge Hemorrhagic Epidermoid Cyst of the Perineum with Hypoechoic Semisolid Ultrasonographic Feature Mimicking Scar Endometriosis.

作者信息

Nam Gina, Lee Sa Ra, Eum Hye Rim, Kim Sung Hoon, Chae Hee Dong, Kim Gwang Jun

机构信息

Department of Obstetrics and Gynecology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, 102, Heukseok-ro, Dongjak-gu, Seoul 06973, Korea.

Asan Medical Center, Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, 88, Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea.

出版信息

Medicina (Kaunas). 2021 Mar 17;57(3):276. doi: 10.3390/medicina57030276.

DOI:10.3390/medicina57030276
PMID:33802800
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8002583/
Abstract

Epidermoid cysts are small, solitary, and slow-growing lesions that rarely appear in the perineum and mostly arise because of trauma. This study examined a huge perineal epidermoid cyst that slowly grew over eight years in a premenopausal woman. Ultrasonography showed that the hemorrhage in the cyst was a semisolid hypoechoic mass, which mimicked endometrioma, and was tentatively diagnosed as scar endometriosis in the perineum after vaginal delivery. This case study highlights the importance of wide surgical excision and histopathologic diagnosis, even with typical ultrasonography and surgical findings.

摘要

表皮样囊肿是一种小的、孤立的、生长缓慢的病变，很少出现在会阴部位，大多由创伤引起。本研究检查了一名绝经前女性会阴部位一个巨大的表皮样囊肿，该囊肿在8年时间里缓慢生长。超声检查显示囊肿内的出血是一个半实性低回声肿块，类似子宫内膜瘤，经阴道分娩后初步诊断为会阴瘢痕子宫内膜异位症。本病例研究强调了广泛手术切除和组织病理学诊断的重要性，即使具有典型的超声和手术表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fba/8002583/6f984f1f4674/medicina-57-00276-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fba/8002583/b22b15525e07/medicina-57-00276-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fba/8002583/a13cd1dada10/medicina-57-00276-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fba/8002583/d924ba03fda8/medicina-57-00276-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fba/8002583/dc8715b34fbe/medicina-57-00276-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fba/8002583/ef17bacc6c65/medicina-57-00276-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fba/8002583/6f984f1f4674/medicina-57-00276-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fba/8002583/b22b15525e07/medicina-57-00276-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fba/8002583/a13cd1dada10/medicina-57-00276-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fba/8002583/d924ba03fda8/medicina-57-00276-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fba/8002583/dc8715b34fbe/medicina-57-00276-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fba/8002583/ef17bacc6c65/medicina-57-00276-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fba/8002583/6f984f1f4674/medicina-57-00276-g006.jpg

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Epidermoid cyst of perineum: a rare case in a young female.会阴表皮样囊肿：一名年轻女性的罕见病例。
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Epidermal Cysts: A Clinicopathological Analysis with Emphasis on Unusual Findings.
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Int J Trichology. 2017 Jul-Sep;9(3):108-112. doi: 10.4103/ijt.ijt_16_17.
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A rare case of epidermoid cyst of perineum: Diffusion-weighted MRI and ultrasonography findings.一例罕见的会阴表皮样囊肿：扩散加权磁共振成像及超声检查结果
Radiol Case Rep. 2015 Dec 7;8(1):593. doi: 10.2484/rcr.v8i1.593. eCollection 2013.
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Giant vulvar epidermoid cyst in an adolescent girl.一名青春期女孩的巨大外阴表皮样囊肿。
Case Rep Obstet Gynecol. 2015;2015:942190. doi: 10.1155/2015/942190. Epub 2015 Apr 9.
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