摘要
目的分析左侧卵巢固有韧带部位孤立性囊性子宫腺肌瘤磁共振成像(MRI)误诊为卵巢颗粒细胞瘤的1例罕见病例,总结分析误诊的原因及探讨防范误诊的措施。方法回顾性分析2022年7月湖北省妇幼保健院妇科收治的1例MRI误诊为卵巢颗粒细胞瘤的左侧卵巢固有韧带部位孤立性囊性子宫腺肌瘤罕见病例的诊疗过程及临床资料。结果患者入院后行腹腔镜探查术,术中完整切除该包块。快速病检示:可见异位内膜腺体组织。术后常规病检示:可见异位子宫内膜腺体,腺体排列规整,腺上皮细胞呈柱状,符合囊性腺肌瘤。术后患者情况可,无特殊不适。结论临床工作中应谨慎对待术前检查考虑为恶性肿瘤的未育患者,应结合术中所见及快速病检,及时调整手术方案,保护育龄期患者的生育力。
Objective To analyze a rare case of solitary cystic adenomyoma of uterus misdiagnosed as ovarian granulosa cell tumor by magnetic resonance imaging(MRI)in the left ligamenta propria of ovary,and to summarize and analyze the causes of misdiagnosis and discuss the preventive measures for misdiagnosis.Methods The diagnosis and treatment process and clinical data of a rare case of solitary cystic adenomyoma of the left ligament a propria of ovary misdiagnosed by MRI as granulosa cell tumor of ovary admitted to Department of Gynecology of Hubei Maternal and Child Health Hospital in July 2022 were retrospectively analyzed.Results Laparoscopic exploration was performed after admission,and the mass was completely resected during the operation.Rapid pathological examination showed:ectopic endometrial glandular tissue.Routine postoperative pathological examination showed:ectopic endometrial glands,regular arrangement of glands,glandular epithelial cells columnar,consistent with cystic adenomyoma.The postoperative condition of the patient was satisfactory without special discomfort.Conclusions In clinical work,childless patients who are considered to be malignant tumors in preoperative examination should be treated with caution,and the surgical plan should be adjusted in time based on intraoperative findings and rapid pathological examination,so as to protect the fertility of patients of childbearing age.
作者
汪洞宇
杨珂
张倩
李崇旭
冯春
戢秀勤
冯同富
吴莺
WANG Dongyu;YANG Ke;ZHANG Qian;LI Chongxu;FENG Chun;JI Xiuqin;FENG Tongfu;WU Ying(Coege of Medicine,Wuhan University of Science and Technology,Wuhan 430070,Hubei,China;Department of Gynecology,Hubei Maternal and Child Health Hospital,Wuhan 430070,Hubei,China;Department of Ultrasonography,Hubei Maternal and Child Health Hospital,Wuhan 430070,Hubei,China)
出处
《中国性科学》
2023年第12期55-60,共6页
Chinese Journal of Human Sexuality
基金
国家自然科学基金项目(82001644)
武汉市中青年医学骨干人才培养工程专项基金项目(2018-116)。
关键词
特殊部位孤立性囊性子宫腺肌瘤
误诊
卵巢颗粒细胞瘤
罕见病
Solitary cystic adenomyoma of uterus with special site
Misdiagnosis
Granulosa cell tumor of ovary
Rare disease
