King W L
Can J Surg. 1979 Nov;22(6):579.
The author presents two examples of metastatic endometriosis occurring in an abdominal scar. These case reports illustrate the two main theories of the pathogenesis of the condition: transportation and metaplasia. The diagnosis is straightforward in the classic case in which a painful mass fluctuates with the menstrual cycle, but a biopsy may be needed to confirm the diagnosis when the history is atypical. The treatment of choice, for those who require treatment, may be hormonal manipulation, surgery or irradiation, or a combination of these.
作者介绍了两例发生在腹部瘢痕处的转移性子宫内膜异位症病例。这些病例报告阐述了该病发病机制的两种主要理论：迁移和化生。在典型病例中，诊断较为直接，即疼痛性肿块随月经周期而变化，但当病史不典型时，可能需要进行活检以确诊。对于那些需要治疗的患者，首选的治疗方法可能是激素治疗、手术或放疗，或这些方法的联合应用。
