宫颈息肉样子宫内膜异位症多次误诊宫颈恶变一例  

A Case Report of Polypoid Endometriosis Mimicking Cervical Malignancy Many Times

作　　者：郑小花 林超琴[1] 赵荣[1] 徐颖[1] 宋岩峰 王成有[1] ZHENG Xiao-hua;LIN Chao-qin;ZHAO Rong;XU Ying;SONG Yan-feng;WANG Cheng-you(Department of Gynecology,Fujian Maternity and Child Health Hospital,Fuzhou 350000,China)

机构地区：[1]福建省妇幼保健院妇科,福州350000

出　　处：《国际妇产科学杂志》2021年第2期238-240,F0003,共4页Journal of International Obstetrics and Gynecology

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。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.

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 

分 类 号：R711.71[医药卫生—妇产科学]