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在成像上模拟侵袭性子宫瘤的扩散性囊性腺:绝经后的诊断困惑!

Anusha Devalla¹, Mishu Mangla¹, Krishna Ramavath²

¹Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Bibinagar, Hyderabad 508126, India.

|February 11, 2025

概括

一个81岁的老妇人的绝经后出血模仿了癌症,但实际上是一种罕见的腺肌病. 这突显了更年期后妇女患有子宫膨胀的诊断挑战.

科学领域:

妇科妇科医生妇科
放射学放射学是一门学科.
病理学病理学病理学

背景情况:

经更年期后出血 (PMB) 与扩散性子宫扩大需要先进的成像诊断.
腺髓炎是绝经后妇女PMB的罕见原因,特别是广泛的腺体变体.

研究的目的:

在一位老年妇女身上呈现一个具有挑战性的PMB病例,图像显示恶性病变,但病理学揭示了腺髓炎.
为了突出在绝经后妇女中罕见呈现的腺髓症所带来的诊断困难.

主要方法:

一个81岁的妇女患有PMB和扩大的子宫的案例介绍.
诊断工作包括双手检查,经阴道超声波 (TVUS),增强对比度的磁共振成像 (CE-MRI) 和透透视膜内膜活检.
手术管理涉及全腹切除术和双边萨尔宾果卵巢切除术.

主要成果:

手术前的MRI发现表明了侵入性子宫内膜瘤.
切除子宫样本的组织病理学检查揭示了腺菌与广泛的腺体扩散,并存与子宫内膜增生而没有异型.
最终的诊断是腺髓炎,而不是侵袭性癌症.

结论:

在绝经后妇女的手术前成像上,广泛的腺腺瘤可以模仿侵袭性子宫瘤.
这一案例凸显了由于这种人口群体中腺菌症的罕见性和多样性呈现的诊断挑战.
缺乏统一的腺髓炎报告标准有助于诊断复杂性.

关键词:

腺菌症的发生.年龄在80岁及以上.宫内膜的新生病.过度增生症过度增生症在更年期后的绝经后.

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