A Case Report of Polypoid Endometriosis Mimicking Cervical Malignancy Many Times

doi:10.12280/gjfckx.20200707

Abstract

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

ZHENG Xiao-hua, LIN Chao-qin, ZHAO Rong, XU Ying, SONG Yan-feng, WANG Cheng-you. A Case Report of Polypoid Endometriosis Mimicking Cervical Malignancy Many Times[J]. Journal of International Obstetrics and Gynecology, 2021, 48(2): 238-240.

Figures/Tables 2

References 12

[1]	Kaushal S, Dadhwal V, Mathur SR, et al. Multifocal polypoid endometriosis in a young woman simulating vaginal and pelvic neoplasm[J]. J Clin Pathol, 2010,63(5):452-454. doi: 10.1136/jcp.2009.073312. doi: 10.1136/jcp.2009.073312 pmid: 20299388
[2]	Kraft JK, Hughes T. Polypoid endometriosis and other benign gynaecological complications associated with Tamoxifen therapy-a case to illustrate features on magnetic resonance imaging[J]. Clin Radiol, 2006,61(2):198-201. doi: 10.1016/j.crad.2005.09.007. doi: 10.1016/j.crad.2005.09.007 pmid: 16439226
[3]	Othman NH, Othman MS, Ismail AN, et al. Multiple polypoid endometriosis--a rare complication following withdrawal of gonadotrophin releasing hormone (GnRH) agonist for severe endometriosis: a case report[J]. Aust N Z J Obstet Gynaecol, 1996,36(2):216-218. doi: 10.1111/j.1479-828X.1996.tb03291.x. doi: 10.1111/j.1479-828x.1996.tb03291.x pmid: 8798320
[4]	Parker RL, Dadmanesh F, Young RH, et al. Polypoid endometriosis: a clinicopathologic analysis of 24 cases and a review of the literature[J]. Am J Surg Pathol, 2004,28(3):285-297. doi: 10.1097/00000478-200403000-00001. pmid: 15104291
[5]	王瑞瑜, 侯敏敏, 于秀章, 等. 卵巢息肉样子宫内膜异位症1例[J]. 实用妇产科杂志, 2018,34(7):557-559.
[6]	宋玉芳, 韩璐, 王亚萍, 等. 不同部位息肉样子宫内膜异位症临床和病理特征11例分析[J]. 中国实用妇科与产科杂志, 2017,33(11):1193-1198. doi: 10.19538/j.fk2017110121.
[7]	Kozawa E, Inoue K, Iwasa N, et al. MR imaging of polypoid endometriosis of the ovary[J]. Magn Reson Med Sci, 2012,11(3):201-204. doi: 10.2463/mrms.11.201. pmid: 23037566
[8]	Yamamoto A, Usami T, Kondo E, et al. Huge polypoid endometriosis: report of a case and review of the literature[J]. Int Cancer Conf J, 2016,5(1):31-35. doi: 10.1007/s13691-015-0220-z. doi: 10.1007/s13691-015-0220-z pmid: 31149419
[9]	廖秀平, 麦观艳, 邓咏诗, 等. 重复宫颈、阴道穹窿部息肉样子宫内膜异位症手术病例1例并文献复习[J]. 中华生殖与避孕杂志, 2020,40(5):414-417. doi: 10.3760/cma.j.cn101441-20190327-00125.
[10]	Tabakin AL, Dutton JL, Fatima A, et al. Polypoid Endometriosis Presenting as a Renal Cortical Tumor[J]. Urology, 2018,119:e5-e7. doi: 10.1016/j.urology.2018.06.010. doi: 10.1016/j.urology.2018.06.010 pmid: 29935933
[11]	Ling R, Jin H, Yang Y, et al. Polypoid Endometriosis of the Rectum and Vagina in an Adolescent[J]. J Pediatr Adolesc Gynecol, 2020,33(5):581-585. doi: 10.1016/j.jpag.2020.06.006. doi: 10.1016/j.jpag.2020.06.006 pmid: 32544515
[12]	宋玉芳, 韩璐. 息肉样子宫内膜异位症的临床及病理特征[J]. 国际妇产科学杂志, 2017,44(4):463-467. doi: 10.3969/j.issn.1674-1870.2017.04.023.

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