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浆膜下囊性子宫腺肌病:一例报告并文献复习

Subserous Cystic Adenomyosis: A Case Report and Review of the Literature.

作者信息

Xu Tongtong, Li Yue, Jiang Lili, Liu Qifang, Liu Kuiran

机构信息

Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, China.

出版信息

Front Surg. 2022 Mar 31;9:807676. doi: 10.3389/fsurg.2022.807676. eCollection 2022.

Abstract

INTRODUCTION

Cystic adenomyosis is a rare type of adenomyosis that often occurs in adolescents or women of childbearing age. Due to the few reports of this case, its clinical characteristics have not been clearly established.

CASE PRESENTATION

We treated a 32-year-old married patient with cystic adenomyosis that reported persistent abdominal pain and massive vaginal bleeding, so an emergency laparotomy was performed. The intraoperative findings and post-operative pathology proved that the diagnosis was correct. The prognosis of the patient is good, and there is no recurrence within 3 months after surgery.

RESULTS

Surgery is the most effective way to treat cystic adenomyosis. Ultrasound and magnetic resonance are the most effective auxiliary examinations for diagnosing the disease.

CONCLUSION

Cystic adenomyosis is a sporadic disease. This article summarizes this condition's clinical manifestations, pathological features, diagnosis, treatment, and prognosis by reviewing the existing literature and the case presented in this report. It is noteworthy that early diagnosis and individualized treatment strategies can improve patients' quality of life.

摘要

引言

囊性子宫腺肌病是一种罕见的子宫腺肌病类型,常发生于青少年或育龄期女性。由于该病例报道较少,其临床特征尚未明确。

病例介绍

我们治疗了一名32岁已婚的囊性子宫腺肌病患者,该患者自述持续腹痛和大量阴道出血,因此进行了急诊剖腹手术。术中发现及术后病理证实诊断正确。患者预后良好,术后3个月内无复发。

结果

手术是治疗囊性子宫腺肌病最有效的方法。超声和磁共振是诊断该病最有效的辅助检查。

结论

囊性子宫腺肌病是一种散发性疾病。本文通过回顾现有文献及本报告中的病例,总结了该疾病的临床表现、病理特征、诊断、治疗及预后。值得注意的是,早期诊断和个体化治疗策略可提高患者生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f349/9008365/21b3c189f6c7/fsurg-09-807676-g0001.jpg

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