腹腔镜手术治疗子宫囊性子宫腺肌病：病例报告。
Management of uterine cystic adenomyosis by laparoscopic surgery: case report.
机构信息
Department of Gynecological Pelvic Floor and Oncology, Chongqing Health Center for Women and Children, Longshan Road 120, Yubei District, Chongqing, China.
Department of Pathology, Chongqing Health Center for Women and Children, Longshan Road 120, Yubei District, Chongqing, China.
出版信息
BMC Womens Health. 2021 Jul 1;21(1):263. doi: 10.1186/s12905-021-01341-1.
BACKGROUND
Endometriosis of the uterine body can be manifested as diffuse solid lesions or cystic lesions. The former is common, while the latter is rare, especially for cystic adenomyosis larger than 5 cm.
CASE PRESENTATION
A 30-year-old woman was admitted for severe and worsening dysmenorrhea. Ultrasound examination revealed a rare well-circumscribed cystic lesion about 5.5 × 4 × 5.0 cm. CA-125 level was slightly elevated. She accepted laparoscopic surgery and the adenomyotic tissues were excised. The histopathology of the specimen demonstrated the endometrial glands in the walls of cysts and an area of extensive hemorrhage can be seen in the inner wall of cyst. The patient made a good recovery after surgery and her symptoms complete resoluted.
CONCLUSIONS
This is a rare case of a cystic adenomyotic lesion that was treated by laparoscopic surgery.
背景
子宫体的子宫内膜异位症可表现为弥漫性实性病变或囊性病变。前者常见，后者罕见，特别是囊性子宫腺肌病大于 5cm 者更罕见。
病例介绍
一名 30 岁女性因严重且逐渐加重的痛经入院。超声检查发现一个罕见的边界清楚的囊性病变，约 5.5×4×5.0cm。CA-125 水平略有升高。她接受了腹腔镜手术，切除了腺肌组织。标本的组织病理学显示囊肿壁内有子宫内膜腺体，囊肿内壁可见广泛出血区域。术后患者恢复良好，症状完全缓解。
结论
这是一例罕见的囊性子宫腺肌病病例，采用腹腔镜手术治疗。
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