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解开谜团:子宫黏液性囊腺瘤的罕见病例

Unraveling the Conundrum: A Rare Case of Mucinous Cystadenoma in the Uterus.

作者信息

Imaduddin Mohammed, Swati Priya Datla, Mamidala Vinay, Owais Mohammed, Muralidhar Muddusetty

机构信息

Department of Surgical Oncology, CION Cancer Clinics, Hyderabad, IND.

Department of Pathology, Unipath Specialty Laboratory Limited, Hyderabad, IND.

出版信息

Cureus. 2025 Aug 5;17(8):e89387. doi: 10.7759/cureus.89387. eCollection 2025 Aug.

DOI:10.7759/cureus.89387
PMID:40918904
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12409179/
Abstract

Extra-ovarian recurrence of mucinous cystadenomas (MCs) is a rare phenomenon. This case report presents the first documented instance of a benign MC recurring within the uterine myometrium of a 48-year-old woman. Two years following an oophorectomy for a large left ovarian MC, the patient presented with lower abdominal pain. Imaging revealed a pelvic mass and subsequent surgery identified a cystic lesion arising from the uterine fundus. Histopathological examination confirmed a benign MC. This case underscores the importance of considering a broad differential diagnosis for pelvic cystic lesions, especially in patients with a history of mucinous tumors. It highlights the potential diagnostic challenge posed by such a rare presentation and emphasizes the need for further research into mechanisms underlying extra-ovarian recurrences.

摘要

黏液性囊腺瘤(MCs)的卵巢外复发是一种罕见现象。本病例报告展示了首例有记录的良性MC在一名48岁女性子宫肌层内复发的病例。在因左侧大卵巢MC行卵巢切除术后两年,患者出现下腹痛。影像学检查发现盆腔肿块,随后手术确定了一个起源于子宫底部的囊性病变。组织病理学检查证实为良性MC。该病例强调了对盆腔囊性病变进行广泛鉴别诊断的重要性,尤其是在有黏液性肿瘤病史的患者中。它突出了这种罕见表现所带来的潜在诊断挑战,并强调需要进一步研究卵巢外复发的潜在机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1878/12409179/5f029e685dbd/cureus-0017-00000089387-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1878/12409179/8fa62ed3807e/cureus-0017-00000089387-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1878/12409179/b1097028070d/cureus-0017-00000089387-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1878/12409179/5f029e685dbd/cureus-0017-00000089387-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1878/12409179/8fa62ed3807e/cureus-0017-00000089387-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1878/12409179/b1097028070d/cureus-0017-00000089387-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1878/12409179/5f029e685dbd/cureus-0017-00000089387-i03.jpg

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本文引用的文献

1
Mucinous Cystadenoma Arising in a Uterine Isthmocele: A Case Report.宫腔憩室中发生的黏液性囊腺瘤:病例报告。
Rev Bras Ginecol Obstet. 2023 Jun;45(6):333-336. doi: 10.1055/s-0043-1770090. Epub 2023 Jul 21.
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Risk Factors for Recurrence of Borderline Ovarian Tumours after Conservative Surgery and Impact on Fertility: A Multicentre Study by the Francogyn Group.卵巢交界性肿瘤保守性手术后复发的危险因素及其对生育能力的影响:Francogyn 集团的一项多中心研究
J Clin Med. 2022 Jun 23;11(13):3645. doi: 10.3390/jcm11133645.
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Recurrent mucinous neoplasm arising in cesarean scar: A case report and review of literature.
剖宫产瘢痕处复发性黏液性肿瘤:一例报告并文献复习
Int J Gynaecol Obstet. 2022 Jun;157(3):564-567. doi: 10.1002/ijgo.13924. Epub 2021 Sep 21.
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A rare case of giant extra-ovarian mucinous cystadenoma arising from sigmoid mesocolon.一例罕见的源于乙状结肠系膜的巨大卵巢外黏液性囊腺瘤。
J Surg Case Rep. 2018 Mar 8;2018(3):rjy038. doi: 10.1093/jscr/rjy038. eCollection 2018 Mar.
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Cystic adenomatoid tumor of the uterus.子宫囊性腺瘤样瘤
J Cancer Res Ther. 2015 Oct-Dec;11(4):967-9. doi: 10.4103/0973-1482.163678.
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Does intraoperative spillage of benign ovarian mucinous cystadenoma increase its recurrence rate?良性卵巢黏液性囊腺瘤术中溢漏是否会增加其复发率?
Am J Obstet Gynecol. 2010 Feb;202(2):142.e1-5. doi: 10.1016/j.ajog.2009.10.854. Epub 2009 Dec 21.
7
Mucinous tumors of the ovary: a review.卵巢黏液性肿瘤:综述
Int J Gynecol Pathol. 2005 Jan;24(1):4-25.