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子宫内膜骨化生:一种罕见的病理实体。

Osseous Metaplasia of the Endometrium: A Rare Pathological Entity.

作者信息

Devdhar Sarita, Gupta Vertika, Gautam Rashmi, Chaudhary Arun

机构信息

Pathology, Noida International Institute of Medical Sciences, Greater Noida, IND.

Pathology, Saraswathi Institute of Medical Sciences, Hapur, IND.

出版信息

Cureus. 2024 Jun 11;16(6):e62204. doi: 10.7759/cureus.62204. eCollection 2024 Jun.

DOI:10.7759/cureus.62204
PMID:39006697
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11244722/
Abstract

Osseous metaplasia of the endometrium is a rare and intriguing pathological condition characterized by the presence of bony tissue within the endometrial cavity. This phenomenon can have significant clinical implications, particularly in the context of infertility. The etiology of osseous metaplasia remains unclear, although various hypotheses have been proposed, including chronic inflammation, dystrophic calcification, and residual embryonic tissue. Clinically, patients may present with secondary infertility, abnormal uterine bleeding, or pelvic pain. Diagnosis can be made based on ultrasonography and histopathological analysis of the endometrial tissue. Treatment typically involves the removal of the osseous tissue via hysteroscopy, which can lead to the restoration of normal endometrial function and potentially resolve infertility. Further research is needed to elucidate the etiological factors and optimize treatment protocols.

摘要

子宫内膜骨化生是一种罕见且引人关注的病理状况,其特征是子宫内膜腔内存在骨组织。这种现象可能具有重大临床意义,尤其是在不孕症的背景下。尽管已提出各种假说,包括慢性炎症、营养不良性钙化和残留胚胎组织,但骨化生的病因仍不清楚。临床上,患者可能表现为继发性不孕、异常子宫出血或盆腔疼痛。诊断可基于子宫内膜组织的超声检查和组织病理学分析。治疗通常包括通过宫腔镜切除骨组织,这可恢复正常的子宫内膜功能并可能解决不孕症。需要进一步研究以阐明病因因素并优化治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dda2/11244722/c32b5a2245aa/cureus-0016-00000062204-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dda2/11244722/770621ec241c/cureus-0016-00000062204-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dda2/11244722/c32b5a2245aa/cureus-0016-00000062204-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dda2/11244722/770621ec241c/cureus-0016-00000062204-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dda2/11244722/c32b5a2245aa/cureus-0016-00000062204-i02.jpg

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引用本文的文献

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Clinicopathological Insights Into Endometrial Osseous Metaplasia: A Rare Case Report.子宫内膜骨化生的临床病理见解:一例罕见病例报告
Case Rep Pathol. 2025 Aug 17;2025:9296695. doi: 10.1155/crip/9296695. eCollection 2025.

本文引用的文献

1
Malakoplakia of Endometrium with Osseous Metaplasia on Evaluation of Postmenopausal Leukorrhea: A Rare Case Report.绝经后白带评估中伴有骨化生的子宫内膜软斑病:一例罕见病例报告
J Midlife Health. 2021 Jul-Sep;12(3):237-240. doi: 10.4103/jmh.jmh_213_20. Epub 2021 Oct 16.
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Osseous metaplasia of the endometrium: A multicenter retrospective study.子宫内膜骨化生:一项多中心回顾性研究。
Eur J Obstet Gynecol Reprod Biol. 2021 Oct;265:150-155. doi: 10.1016/j.ejogrb.2021.08.032. Epub 2021 Sep 1.
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Osseous Metaplasia of the Endometrium: A Rare Entity.
子宫内膜骨化生:一种罕见病症。
J Obstet Gynaecol India. 2015 Oct;65(5):342-5. doi: 10.1007/s13224-014-0589-1. Epub 2014 Jul 29.
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Endometrial osseous metaplasia: an unusual cause of infertility.子宫内膜骨化生:一种不常见的不孕原因。
BMJ Case Rep. 2015 Apr 1;2015:bcr2015209523. doi: 10.1136/bcr-2015-209523.
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Osseous metaplasia of the endometrium associated with infertility: a case report and review of the literature.子宫内膜骨化生与不孕症:一例病例报告及文献复习
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True osseous metaplasia of the endometrium: the bone is not from a fetus.子宫内膜的真性骨化生:骨并非来自胎儿。
Fertil Steril. 2009 Apr;91(4):1293.e1-4. doi: 10.1016/j.fertnstert.2008.12.026. Epub 2009 Jan 30.
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Endometrial ossification in a postmenopausal woman.一名绝经后女性的子宫内膜骨化。
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