Bentaleb Daoud, Noureddine Leila, Ndayishimiye Vianney, Mourabbih Mariam, Mellouki Abderrahmane, Sabiri Mouna, Lembarki Ghizlane, Essodegui Fatiha, Guebessi Nisrine Bennani
Central Service of Radiology, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy of Casablanca, Casablanca, Morocco.
Gynaecology and Obstetrics Service, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy of Casablanca, Casablanca, Morocco.
Radiol Case Rep. 2022 Mar 26;17(5):1773-1776. doi: 10.1016/j.radcr.2022.02.070. eCollection 2022 May.
Fibrous uterine polyps are very common in women during or after menopause, and less often seen in women of child-bearing age, with a maximum of frequency between 40, and 49 years. They can have various locations in the uterus depending on the patient's age, mostly the body, and fundus. We report a rare case of cervical localization of a pedicled fibrous polyp issuing from the cervix, in a 44-year-old female patient with 3 living children and a history of miscarriage, who had been presenting breakthrough bleeding, and pelvic pain for 3 months. It is essential to remind young radiologists of the different presentations of fibrous polyps, how to explore them better and when to fear malignancy and thus insist in a histologic study, in order to help clinicians to choose the most adequate treatment option.
纤维性子宫息肉在绝经期间或绝经后的女性中非常常见,在育龄女性中较少见,发病频率最高在40至49岁之间。根据患者年龄,它们在子宫内可有不同位置,大多位于子宫体和底部。我们报告一例罕见病例,一名44岁有3个存活子女且有流产史的女性患者,宫颈出现带蒂纤维性息肉,该息肉起源于宫颈,患者出现突破性出血和盆腔疼痛3个月。必须提醒年轻放射科医生注意纤维性息肉的不同表现、如何更好地检查它们以及何时应警惕恶性病变,从而坚持进行组织学研究,以帮助临床医生选择最合适的治疗方案。