Zhang Lei, Guo Zhaojun, Pang Yicun, Zhao Jun, Liang Jun, Ma Xiaolin
Department of Obstetrics and Gynecology, The Third Hospital of Hebei Medical University, No.139 of Ziqiang Road, Qiaoxi District, Shijiazhuang, Hebei Province 050051, China.
Open Life Sci. 2024 May 15;19(1):20220846. doi: 10.1515/biol-2022-0846. eCollection 2024.
Cystic adenomyosis is a rare type of adenomyosis. The main clinical manifestation of uterine cystic adenomyoma is severe dysmenorrhoea, and the condition can be diagnosed by relevant clinical examination. The preferred treatment, with a good prognosis, is lesion resection. The clinical data of a patient with uterine cystic adenomyoma recorded at the Third Hospital of Hebei Medical University are reported herein. A 39-year-old female patient presented with tolerable menstrual pain and aggravated dysmenorrhoea, which she had experienced for 4 years, and menorrhagia, which she had had for approximately 1 year. Ultrasound and tumour marker tests suggested abnormalities, and magnetic resonance imaging confirmed a diagnosis of uterine cystic adenomyoma. A hysteroscopy and intrauterine lesion electrocision were performed, and the results of postoperative pathology tests suggested that the endometriosis cysts had returned to normal after the postoperative intervention. The analysis of the clinical manifestations and diagnosis and treatment of uterine cystic adenomyoma can improve the understanding of the disease and reduce the rates of misdiagnosis and missed diagnoses to ensure early detection with timely diagnosis and treatment.
囊性子宫腺肌病是一种罕见的子宫腺肌病类型。子宫囊性腺肌瘤的主要临床表现为严重痛经,可通过相关临床检查进行诊断。首选治疗方法是病灶切除,预后良好。本文报道了河北医科大学第三医院记录的一名子宫囊性腺肌瘤患者的临床资料。一名39岁女性患者出现可耐受的经期疼痛,痛经加重已4年,月经过多约1年。超声和肿瘤标志物检查提示异常,磁共振成像确诊为子宫囊性腺肌瘤。进行了宫腔镜检查和宫内病灶电切术,术后病理检查结果提示术后干预后子宫内膜异位囊肿已恢复正常。对子宫囊性腺肌瘤的临床表现及诊断和治疗进行分析,可提高对该疾病的认识,降低误诊和漏诊率,确保早期发现并及时诊断和治疗。