Neises M, Strittmatter H J, Wischnik A, Heine M, Melchert F
Frauenklinik, Fakultät für Klinische Medizin, Universität Heidelberg, Klinikum Mannheim.
Geburtshilfe Frauenheilkd. 1993 Jul;53(7):495-7. doi: 10.1055/s-2007-1022921.
A 44-year old woman was referred because of metrorrhagia and asthenia. A diagnosis of uterine malignancy was suspected on the basis of the management of the Cervix uteri and an elevated erythrocyte sedimentation rate. Conisation and hysterectomy were performed, and histological examination revealed necrotising vasculitis affecting the Cervix uteri. Corpus uteri, muscle and fat biopsies showed no Periarteritis nodosa lesions. The incidental finding of necrotising arteritis in a surgical uterine specimen, involves further study to exclude systemic disease. The ability to involve any organ in the body makes it possible for specialists in every branch of medicine to be involved in the management and care of these patients.
一名44岁女性因子宫出血和乏力前来就诊。根据宫颈检查及红细胞沉降率升高，怀疑患有子宫恶性肿瘤。进行了宫颈锥切术和子宫切除术，组织学检查显示坏死性血管炎累及宫颈。子宫体、肌肉和脂肪活检未发现结节性多动脉炎病变。手术子宫标本中偶然发现坏死性动脉炎，需要进一步检查以排除全身性疾病。坏死性动脉炎可累及身体任何器官，这使得各个医学分支的专家都有可能参与这些患者的管理和护理。
