妊娠期蜕膜性宫颈炎酷似宫颈癌

Cervicitis decidualis mimicking cervical cancer in pregnancy.

作者信息

Soleymani Majd Hooman, Gaitskell Kezia, Johnson Catherine, Hellner Karin

机构信息

Oxford University Hospitals NHS Foundation Trust, Department of Gynaecological Oncology, Churchill Hospital, Oxford OX3 7LE, United Kingdom.

Oxford University Hospitals NHS Foundation Trust, Department of Pathology, John Radcliffe Hospital, Oxford OX3 9DU, United Kingdom.

出版信息

Gynecol Oncol Rep. 2024 Dec 16;57:101663. doi: 10.1016/j.gore.2024.101663. eCollection 2025 Feb.

DOI:10.1016/j.gore.2024.101663

PMID:39807174

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11728957/

Abstract

Cervical decidual reaction in pregnancy is a common finding. In rare cases, these changes can mimic the appearance of invasive cervical cancers. We are presenting a case of a pregnant woman with a large cervical mass. Whilst magnetic resonance imaging (MRI) supported a diagnosis of cervical cancer, cervical tissue biopsies showed decidual reaction and no invasion. Cervical appearance postpartum reverted back to normal. Importantly, cervical biopsies were obtained in a fully equipped theatre attended by multiple specialities in case of life-threatening haemorrhage during pregnancy.

摘要

孕期宫颈蜕膜反应是一种常见表现。在极少数情况下，这些变化可类似浸润性宫颈癌的外观。我们报告一例有巨大宫颈肿物的孕妇病例。虽然磁共振成像（MRI）支持宫颈癌的诊断，但宫颈组织活检显示为蜕膜反应且无浸润。产后宫颈外观恢复正常。重要的是，宫颈活检是在设备齐全的手术室进行的，有多个专科在场，以防孕期出现危及生命的出血情况。