Veiga-Ferreira M M, Leiman G, Dunbar F, Margolius K A
Department of Obstetrics and Gynecology, School of Pathology of the South African Institute for Medical Research, Johannesburg.
Am J Obstet Gynecol. 1987 Oct;157(4 Pt 1):849-56. doi: 10.1016/s0002-9378(87)80070-4.
Regarded as infrequent, endometriosis of the cervix probably occurs more commonly than is generally realized. The lesion's apparent rarity may be ascribed to limited awareness of the clinical appearance, combined with technical difficulty in obtaining suitable biopsy material for confirmation. A consequence of previous cervical trauma, endometriosis of the cervix can be expected to increase in incidence with more widespread use of invasive cervical procedures. Clinical recognition and tissue confirmation thus become essential. This paper refocuses attention on cervical endometriosis by documenting the clinical, colposcopic, and histopathologic findings in 16 cases seen at a single colposcopy clinic over a 6-month period. Diagnosis in these patients was facilitated and improved by fine needle aspiration cytologic testing. This technique, not previously used for documentation of endometriosis in this location, is outlined in detail, together with a full description and illustration of the cytologic features.
宫颈子宫内膜异位症被认为较为罕见，但其实际发生率可能比普遍认知的更高。该病变看似罕见，可能是由于对其临床表现认识有限，以及获取合适活检材料进行确诊存在技术困难。宫颈子宫内膜异位症是既往宫颈创伤的结果，随着侵入性宫颈手术的更广泛应用，其发病率预计会上升。因此，临床识别和组织确诊至关重要。本文通过记录在一家阴道镜诊所6个月内诊治的16例患者的临床、阴道镜及组织病理学表现，重新聚焦于宫颈子宫内膜异位症。细针穿刺细胞学检查有助于并改善了这些患者的诊断。本文详细介绍了这项此前未用于记录该部位子宫内膜异位症的技术，同时对细胞学特征进行了全面描述并配有图示。
