子宫肌壁间子宫内膜异位囊肿与囊性腺肌病可能是两种不同的疾病
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摘要
目的尝试对子宫肌壁间子宫内膜异位囊肿和囊性腺肌病提出新的鉴别诊断方法。方法报道和分析了1例子宫肌壁间子宫内膜异位囊肿和1例囊性腺肌病病例,结合相关文献,对两种疾病进行了鉴别诊断。结果子宫肌壁间子宫内膜异位囊肿与囊性腺肌病(瘤)在病灶特点和病理特征上都具有显著差异,手术处理方式亦有不同。结论子宫肌壁间内异症囊肿既非先天性疾病,也非继发于腺肌症的特殊类型,而很可能是继发于宫体损伤的获得性内异症。
Objective:To present a new differential diagnosis method for intermuscular endometriotic cyst and cystic adnomyosis/adenomyoma.Methods:The medical records of one patient with intermuscular endometriotic cyst and one patient with cystic adenomyosis were reported and compared.Combined with literature,the two diseases were differentially diagnosed.Results:Intermuscular endometriotic cyst and cystic adnomyosis/adenomyoma showed significant differences in lesion characteristics and pathological features,as well as different surgical procedures.Conclusions:Intermuscular endometriotic cyst is neither congenital diseases nor a special type secondary to adenomyosis,but is likely acquired endometriosis secondary to uterine injury.
Objective:To present a new differential diagnosis method for intermuscular endometriotic cyst and cystic adnomyosis/adenomyoma.Methods:The medical records of one patient with intermuscular endometriotic cyst and one patient with cystic adenomyosis were reported and compared.Combined with literature,the two diseases were differentially diagnosed.Results:Intermuscular endometriotic cyst and cystic adnomyosis/adenomyoma showed significant differences in lesion characteristics and pathological features,as well as different surgical procedures.Conclusions:Intermuscular endometriotic cyst is neither congenital diseases nor a special type secondary to adenomyosis,but is likely acquired endometriosis secondary to uterine injury.
引文
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[6]Brosens I,Gordts S,Habiba M,et al.Uterine cystic adenomyosis:a disease of younger women[J].J Pediatr Adolesc Gynecol,2015,28:420-426.
[7]Jain N,Goel S.Cystic Adenomyoma simulates uterine malformation:A diagnostic dilemma:Case report of two unusual cases[J].J Hum Reprod Sci,2012,5:285-288.
[8]Dogan E,Gode F,Saatli B,et al.Juvenile cystic adenomyosis mimicking uterine malformation:a case report[J].Arch Gynecol Obstet,2008,278:593-595.
[9]於利刚,邓姗.少见且易误诊的子宫内膜异位囊肿[J].生殖医学杂志,2018,27:471-473.
[10]刘秀,刘海元,史宏晖,等.囊性子宫腺肌病三例报告及文献复习[J].中华妇产科杂志,2015,50:946-948.
[11]Takeuchi H,Kitade M,Kikuchi I,et al.Diagnosis,laparoscopic management,and histopathologic findings of juvenile cystic adenomyoma:a review of nine cases[J].Fertil Steril,2010,94:862-868.
[12]Bedaiwy MA,Henry DN,Elguero S,et al.Accessory and cavitated uterine mass with functional endometrium in an adolescent:diagnosis and laparoscopic excision technique[J].JPediatr Adolesc Gynecol,2013,26:e89-91.
[13]Kumar A.Myometrial cyst[J].J Minim Invasive Gynecol,2007,14:395-396.
[14]Akar ME,Leezer KH,Yalcinkaya TM.Robot-assisted laparoscopic management of a case with juvenile cystic adenomyoma[J].Fertil Steril,2010,94:e55-56.
[15]Kü?ük Z,Karcaaltincaba D,Ergün Y,et al.Isolated hydatid cyst of uterine cervix:A case report[J].J Obstet Gynaecol Res,2014,40:1157-1160.
[16]Mills WG.Uterine cyst[J].Proc R Soc Med,1955,48:454.
[2]Acién P,Acién M,Fernández F,et al.The cavitated accessory uterine mass:a Mullerian anomaly in women with an otherwise normal uterus[J].Obstet Gynecol,2010,116:1101-1109.
[3]Pontrelli G,Bounous VE,Scarperi S,et al.Rare case of giant cystic adenomyoma mimicking a uterine malformation,diagnosed and treated by hysteroscopy[J].J Obstet Gynaecol Res,2015,41:1300-1304.
[4]Takeda A,Sakai K,Mitsui T,et al.Laparoscopic management of juvenile cystic adenomyoma of the uterus:report of two cases and review of the literature[J].J Minim Invasive Gynecol,2007,14:370-374.
[5]Benagiano G,Brosens I,Habiba M.Adenomyosis:a life-cycle approach[J/OL].Reprod Biomed Online,2015,30:220-232.
[6]Brosens I,Gordts S,Habiba M,et al.Uterine cystic adenomyosis:a disease of younger women[J].J Pediatr Adolesc Gynecol,2015,28:420-426.
[7]Jain N,Goel S.Cystic Adenomyoma simulates uterine malformation:A diagnostic dilemma:Case report of two unusual cases[J].J Hum Reprod Sci,2012,5:285-288.
[8]Dogan E,Gode F,Saatli B,et al.Juvenile cystic adenomyosis mimicking uterine malformation:a case report[J].Arch Gynecol Obstet,2008,278:593-595.
[9]於利刚,邓姗.少见且易误诊的子宫内膜异位囊肿[J].生殖医学杂志,2018,27:471-473.
[10]刘秀,刘海元,史宏晖,等.囊性子宫腺肌病三例报告及文献复习[J].中华妇产科杂志,2015,50:946-948.
[11]Takeuchi H,Kitade M,Kikuchi I,et al.Diagnosis,laparoscopic management,and histopathologic findings of juvenile cystic adenomyoma:a review of nine cases[J].Fertil Steril,2010,94:862-868.
[12]Bedaiwy MA,Henry DN,Elguero S,et al.Accessory and cavitated uterine mass with functional endometrium in an adolescent:diagnosis and laparoscopic excision technique[J].JPediatr Adolesc Gynecol,2013,26:e89-91.
[13]Kumar A.Myometrial cyst[J].J Minim Invasive Gynecol,2007,14:395-396.
[14]Akar ME,Leezer KH,Yalcinkaya TM.Robot-assisted laparoscopic management of a case with juvenile cystic adenomyoma[J].Fertil Steril,2010,94:e55-56.
[15]Kü?ük Z,Karcaaltincaba D,Ergün Y,et al.Isolated hydatid cyst of uterine cervix:A case report[J].J Obstet Gynaecol Res,2014,40:1157-1160.
[16]Mills WG.Uterine cyst[J].Proc R Soc Med,1955,48:454.