Tang Shenglan, Jiang Xuelu, Wang Xue
Department of the First School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou, Zhejiang Province, People's Republic of China.
The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, Zhejiang Province, People's Republic of China.
Medicine (Baltimore). 2024 Dec 27;103(52):e40968. doi: 10.1097/MD.0000000000040968.
Lobular endocervical glandular hyperplasia is a rare proliferative lesion of the endocervical glands with an unclear pathogenesis. The condition lacks specific clinical manifestations and signs and often leading to clinical underdiagnosis and misdiagnosis.
A 27-year-old female patient presented with a history of abnormal vaginal bleeding over the previous 3 months. An ultrasound examination revealed the presence of a cystic solid structure in the posterior wall of the cervix.The second patient is a 25-year-old woman who has undergone 3 cervical cystectomies over the past 9 years due to recurrent cervical cysts. It is regrettable to report that the cyst has now recurred.
Lobular endocervical glandular hyperplasia.
In consideration of the fertility needs of both patients, the gynecologists conducted a comprehensive imaging evaluation and detailed preoperative discussion, and performed ultrasound-guided hysteroscopic excision of cervical lesions and transvaginal excision of cervical lesions.
Following treatment, the 2 patients exhibited a complete resolution of their clinical symptoms. Subsequent follow-up examinations demonstrated that both patients were exhibiting favorable outcomes.
The objective of this study is to present 2 cases of lobular endocervical glandular hyperplasia in order to facilitate a greater understanding of this rare disease among gynecologists. Furthermore, this study will describe the potential use of ultrasound-guided hysteroscopic excision of cervical lesions and transvaginal hysteroscopic excision of cervical lesions as a treatment modality for lobular endocervical glandular hyperplasia patients with fertility needs.
宫颈管小叶状腺性增生是一种罕见的宫颈管腺增生性病变，发病机制尚不明确。该病症缺乏特异性临床表现和体征，常导致临床漏诊和误诊。
一名27岁女性患者，有前3个月阴道异常出血史。超声检查显示宫颈后壁有一囊实性结构。第二位患者是一名25岁女性，因复发性宫颈囊肿在过去9年里接受了3次宫颈囊肿切除术。遗憾的是，囊肿现在又复发了。
宫颈管小叶状腺性增生。
考虑到两位患者的生育需求，妇科医生进行了全面的影像学评估和详细的术前讨论，并实施了超声引导下宫腔镜宫颈病变切除术和经阴道宫颈病变切除术。
治疗后，2例患者临床症状完全缓解。随后的随访检查表明，两位患者均预后良好。
本研究的目的是展示2例宫颈管小叶状腺性增生病例，以便妇科医生更好地了解这种罕见疾病。此外，本研究将描述超声引导下宫腔镜宫颈病变切除术和经阴道宫腔镜宫颈病变切除术作为有生育需求的宫颈管小叶状腺性增生患者的一种治疗方式的潜在用途。
