肝脏子宫内膜异位症的诊疗1例并文献复习  

Diagnosis and treatment of endometrial cyst of the liver:a case report and literature review

作　　者：刘洋[1] 卿清 孙春意[2] 李岱株 廖婧 周姣月 丁予露 于恒海[3] LIU Yang;QING Qing;SUN Chunyi;LI Daizhu;LIAO Jing;ZHOU Jiaoyue;DING Yulu;YU Henghai(Department of Reproductive Medicine,the Second Affiliated Hospital of Kunming Medical University,Kunming,Yunnan;Department of Gynecology,the Second Affiliated Hospital of Kunming Medical University,Kunming,Yunnan;First Ward,Department of Hepatobiliary and Pancreatic Surgery,the Second Affiliated Hospital of Kunming Medical University,Kunming,Yunnan 650101,China)

机构地区：[1]昆明医科大学第二附属医院生殖医学科,650101 [2]昆明医科大学第二附属医院妇科,650101 [3]昆明医科大学第二附属医院肝胆胰外科一病区,650101

出　　处：《重庆医学》2020年第13期2090-2094,共5页Chongqing medicine

基　　金：国家自然科学基金项目(81860515);2016年云南省卫生和计划生育委员会医学后备人才培养项目(H-201629);2018年云南省科技厅-昆明医科大学应用基础研究联合专项面上项目[2018FE001(-055)];云南省万人计划“青年拔尖人才”培养项目(云人社发[2018]73号)。

摘　　要：目的探讨肝脏子宫内膜异位症的诊断和治疗方案。方法回顾性分析1例肝脏子宫内膜异位症患者的临床资料,并复习国内外相关文献。结果该患者术前影像学提示肝包虫可能,经手术治疗,术后组织病理学检查结果提示肝脏子宫内膜异位囊肿,术后4个月随访肝脏囊肿再次出现。结论肝脏子宫内膜异位症是一种罕见疾病,临床上易误诊,确诊需依靠组织病理学。Objective To explore the diagnosis and treatment of endometrial cyst of the liver.Methods The clinical data of one patient with endometrial cyst of the liver were retrospectively analyzed,and the related literatures at home and abroad were reviewed.Results The preoperative imaging of this patient suggested that hepatic hydatidosis was possible.After surgical treatment,the results of postoperative histopathological examination suggested that hepatic endometriosis cyst was found.The liver cyst reappeared after 4 months follow-up.Conclusion Endometrial cyst of the liver is a rare disease that is easily misdiagnosed,and should be clearly diagnosed by histopathology.

关 键 词：子宫内膜异位症 盆腔外子宫内膜异位 肝占位 诊断 鉴别 文献复习 

分 类 号：R735.7[医药卫生—肿瘤]