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胎盘植入谱系疾病行次全子宫切除术后数十年发生子宫内膜癌:一例报告

Endometrial cancer decades after supracervical hysterectomy for placenta accreta spectrum: A case report.

作者信息

Gilgannon Lauren T, Duska Linda R

机构信息

The University of Virginia Department of Obstetrics and Gynecology, USA.

出版信息

Gynecol Oncol Rep. 2025 Apr 3;59:101737. doi: 10.1016/j.gore.2025.101737. eCollection 2025 Jun.

Abstract

Endometrial cancer following a supra-cervical hysterectomy is a rare event and a correct diagnosis requires high clinical suspicion. Here we report a case of a woman who developed endometrial cancer years after supracervical hysterectomy was performed for placenta accreta spectrum (PAS) with bladder invasion. The patient presented with urinary bleeding and was diagnosed on cystoscopy; her pathology and unusual history led to the ultimate diagnosis of a primary endometrial cancer in the remaining uterine stump.

摘要

子宫颈上子宫切除术后发生子宫内膜癌是一种罕见事件,正确诊断需要高度的临床怀疑。在此,我们报告一例女性病例,该女性在因胎盘植入谱系疾病(PAS)伴膀胱侵犯行子宫颈上子宫切除术后数年发生了子宫内膜癌。患者出现血尿,经膀胱镜检查确诊;其病理及特殊病史最终诊断为残留子宫残端原发性子宫内膜癌。

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