国际妇产科学杂志

国际妇产科学杂志 ›› 2021, Vol. 48 ›› Issue (2): 238-240.doi: 10.12280/gjfckx.20200707

• 普通妇科疾病及相关研究 病例报告 • 上一篇    

宫颈息肉样子宫内膜异位症多次误诊宫颈恶变一例

郑小花, 林超琴, 赵荣, 徐颖(), 宋岩峰, 王成有   

  1. 350000 福州,福建省妇幼保健院妇科
  • 收稿日期:2020-07-31 出版日期:2021-04-15 发布日期:2021-04-16
  • 通讯作者: 徐颖 E-mail:450523103@qq.com

A Case Report of Polypoid Endometriosis Mimicking Cervical Malignancy Many Times

ZHENG Xiao-hua, LIN Chao-qin, ZHAO Rong, XU Ying(), SONG Yan-feng, WANG Cheng-you   

  1. Department of Gynecology, Fujian Maternity and Child Health Hospital, Fuzhou 350000, China
  • Received:2020-07-31 Published:2021-04-15 Online:2021-04-16
  • Contact: XU Ying E-mail:450523103@qq.com

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摘要：

息肉样子宫内膜异位症（polypoid endometriosis,PEM）是一种良性且罕见的子宫内膜异位症。报告1例宫颈PEM合并子宫内膜复杂增生。1例38岁女性因持续阴道出血、宫颈肿物4 cm×5 cm×3 cm及血CA125升高就诊。磁共振成像（MRI）增强提示宫颈恶性肿瘤。经过4次不同的病理报告和2次手术,最终宫颈肿物病理诊断为PEM。PEM易误诊为恶性肿瘤,临床医生应多结合病史及肿瘤标志物等综合判断。

关键词: 子宫内膜异位症, 宫颈疾病, 宫颈肿瘤, 病理学, 临床, 诊断, 鉴别, 息肉样子宫内膜异位症

Abstract:

Polypoid endometriosis is a benign and rare type of endometriosis. We report a case of polypoid endometriosis of the cervix with complex hyperplasia of endometrium. A 38-year-old woman was referred due to the continuous vaginal bleeding, about 4 cm×5 cm×3 cm cervical mass and a high serum CA125 level. MRI showed cervical malignancy. After four seems different described pathological reports and two operations, finally the diagnosis of polypoid endometriosis was made on permanent section. PEM is a part of the differential diagnosis for malignant tumors in women, and should be based on the history and tumor markers.

Key words: Endometriosis, Uterine cervical diseases, Uterine cervical neoplasms, Pathology, clinical, Diagnosis, differential, Polypoid endometriosis