Umesaki N, Nakai Y, Honda K, Kawamura N, Kanaoka Y, Nishimura S, Ishiko O, Ogita S
Department of Obstetrics and Gynecology, School of Medicine, Osaka City University, Abeno, Osaka, Japan.
Gynecol Obstet Invest. 1998;45(3):213-6. doi: 10.1159/000009959.
Adenoma malignum (minimum deviation adenocarcinoma) is a rare neoplasma of the uterine cervix, the diagnosis of wich cannot be determined by cervical smear. Recently, magnetic resonance imaging (MRI) was reported as useful for its diagnosis, but differentiation of adenoma malignum from deep-seated nabothian cysts remains problematic. We report here a case of adenoma malignum of the uterine cervix, for which MRI findings could not neglect deep-seated nabothian cysts. However, transvaginal power Doppler ultrasonography clearly showed richness of small vessels, whose arterial flow had higher velocity in the diastolic phase, around the cystic lesion of the uterine cervix. These findings indicate that, at least in the case reported here, transvaginal power and pulsed Doppler ultrasonography is a useful tool for the diagnosis of adenoma malignum of the uterine cervix.
微小偏离腺癌是一种罕见的子宫颈肿瘤，宫颈涂片无法对其进行诊断。最近，有报道称磁共振成像（MRI）对其诊断有用，但微小偏离腺癌与深部纳博特囊肿的鉴别仍存在问题。我们在此报告一例子宫颈微小偏离腺癌，其MRI表现无法排除深部纳博特囊肿。然而，经阴道能量多普勒超声检查清楚地显示，子宫颈囊性病变周围小血管丰富，其动脉血流在舒张期速度较高。这些发现表明，至少在本文报道的病例中，经阴道能量和脉冲多普勒超声检查是诊断子宫颈微小偏离腺癌的有用工具。
