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源于子宫颈的巨大纤维性息肉:一例报告。

Giant fibrous polyp issuing from the uterine cervix: A case report.

作者信息

Bentaleb Daoud, Noureddine Leila, Ndayishimiye Vianney, Mourabbih Mariam, Mellouki Abderrahmane, Sabiri Mouna, Lembarki Ghizlane, Essodegui Fatiha, Guebessi Nisrine Bennani

机构信息

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.

出版信息

Radiol Case Rep. 2022 Mar 26;17(5):1773-1776. doi: 10.1016/j.radcr.2022.02.070. eCollection 2022 May.

DOI:10.1016/j.radcr.2022.02.070
PMID:35355532
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8958459/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3a1/8958459/e96cfa97a15a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3a1/8958459/276a70333402/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3a1/8958459/a4390525afa4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3a1/8958459/424ed72312cf/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3a1/8958459/e96cfa97a15a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3a1/8958459/276a70333402/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3a1/8958459/a4390525afa4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3a1/8958459/424ed72312cf/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a3a1/8958459/e96cfa97a15a/gr4.jpg

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本文引用的文献

1
Endometrial Polyps and Abnormal Uterine Bleeding (AUB-P): What is the relationship, how are they diagnosed and how are they treated?子宫内膜息肉与异常子宫出血(AUB-P):它们之间有什么关系?如何诊断?如何治疗?
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A diagnostically useful histopathologic feature of endometrial polyp: the long axis of endometrial glands arranged parallel to surface epithelium.子宫内膜息肉的一个具有诊断价值的组织病理学特征:子宫内膜腺体的长轴与表面上皮平行排列。
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