Nkanyane Ntsako, Ngene Nnabuike Chibuoke
Department of Obstetrics and Gynecology, Leratong Hospital, Krugersdorp, South Africa.
Department of Obstetrics and Gynaecology, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Case Rep Womens Health. 2022 Jun 17;35:e00425. doi: 10.1016/j.crwh.2022.e00425. eCollection 2022 Jul.
This case report is on cervical spindle cell neoplasm and complications of its excision. A 34-year-old multiparous woman presented with a one-year history of mild to moderate non-radiating lower abdominal pain and a sensation of a mass in the vagina when urinating. These symptoms were associated with a recurrent foul-smelling yellow vaginal discharge which was unresponsive to antibiotic therapy prescribed at a primary healthcare clinic. Vaginal examination at a gynaecological clinic revealed a firm circular cervical mass. Excision biopsy of the mass (attached between the 1 and 3 o'clock positions on the cervix) showed a benign spindle cell neoplasm. The patient became pregnant six months after the surgical excision and had a miscarriage at 18 weeks of gestation due to cervical insufficiency. The report highlights the importance of antenatal surveillance for women following surgical excision of a cervical lesion such as spindle cell neoplasm as they may be predisposed to cervical insufficiency.
本病例报告涉及宫颈梭形细胞瘤及其切除术后的并发症。一名34岁经产妇，有一年轻度至中度下腹部非放射性疼痛病史，排尿时有阴道肿物感。这些症状伴有反复出现的有异味黄色阴道分泌物，对基层医疗诊所开具的抗生素治疗无反应。在妇科诊所进行阴道检查时发现宫颈有一个质地坚硬的圆形肿物。对肿物（附着于宫颈1点至3点位置之间）进行切除活检，结果显示为良性梭形细胞瘤。患者在手术切除后六个月怀孕，妊娠18周时因宫颈机能不全发生流产。该报告强调了对于接受宫颈病变（如梭形细胞瘤）手术切除的女性进行产前监测的重要性，因为她们可能易患宫颈机能不全。
