在怀孕的第二个三个月被伪装成恶性癌症的决定性卵巢和直子宫深层子宫内膜异位症:病例报告
Lingjie Bao1, Ting Wang1, Yinping Xiao2
1Department of Gynecology, Obstetrics and Gynecology Hospital, Fudan University, Shanghai, China.
Heliyon
|February 3, 2025
概括
怀孕期间子宫内膜异位症的二元化可以模仿恶性瘤,造成诊断挑战. 这一案例凸显了多学科团队对于这些罕见的妊娠并发症的准确诊断和管理的重要性.
科学领域:
- 生殖医学 生殖医学
- 妇科瘤学 妇科瘤学
- 产科 产科 产科 产科 产科
背景情况:
- 怀孕可以导致良性荷尔蒙反应性病变生长,模仿恶性病变.
- 怀孕期间卵巢内膜瘤的决定性已知,但深层子宫内膜异位症的决定性理解较少.
- 这种病例呈现出决定性的双侧卵巢内膜瘤和深层子宫内膜异位症,模仿孕妇患者的恶性瘤.
研究的目的:
- 报告一个罕见的决定性子宫内膜异位症病例,模仿怀孕期间的恶性瘤.
- 强调这种情况的诊断挑战和管理策略.
主要方法:
- 一名26岁的孕妇出现了疑似恶性瘤的盆腔质量.
- 图像 (TVS,MRI) 和瘤标志物 (CA125,HE-4) 用于评估.
- 一个多学科团队 (MDT) 的讨论导致了保守的腹腔镜手术与冷截面分析.
主要成果:
- 双边卵巢质量和直子宫囊病变最初被怀疑是卵巢内膜腺癌.
- 在手术期间的发现和冷切口揭示了决定性的子宫内膜瘤和深度子宫内膜异位症.
- 患者康复良好,接受了高风险怀孕监督,并通过剖腹产分娩出了一个健康的婴儿.
结论:
- 怀孕期间子宫内膜异位症的二元化存在重大临床挑战.
- 一个成熟的多学科团队对于最佳的治疗决策至关重要.
- 怀孕前早期的子宫内膜异位症诊断可以帮助区分恶性瘤并降低孕产妇/胎儿的风险.
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