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非典型息肉样腺肌瘤的MRI和经阴道超声表现：1例报道
- Affiliations：
1. 1Department of Ultrasonography, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, China
2. 2Obstetrics and Gynecology Medical Center, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, China
- Author bio：
*E-mail: pulushi38@126.com.
- Funds：
DOI：10.24920/003911
中图分类号：收稿日期：2021-04-06，
录用日期：2021-7-9，
网络出版日期：2022-03-04，
纸质出版日期：2022-03-31
- Accepted：
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谭娅, 胡雪, 宋鑫, 等. 非典型息肉样腺肌瘤的MRI和经阴道超声表现：1例报道[J]. 中国医学科学杂志（英文版）, 2022,37(1):82-86.
Tan Ya, Hu Xue, Song Xin, et al. MRI and Transvaginal Ultrasound Findings of Atypical Polypoid Adenomyoma: A Case Report[J]. Chinese medical sciences journal, 2022, 37(1): 82-86.
谭娅, 胡雪, 宋鑫, 等. 非典型息肉样腺肌瘤的MRI和经阴道超声表现：1例报道[J]. 中国医学科学杂志（英文版）, 2022,37(1):82-86. DOI： 10.24920/003911.
Tan Ya, Hu Xue, Song Xin, et al. MRI and Transvaginal Ultrasound Findings of Atypical Polypoid Adenomyoma: A Case Report[J]. Chinese medical sciences journal, 2022, 37(1): 82-86. DOI： 10.24920/003911.
摘要
非典型息肉样腺肌瘤（atypical polypoid adenomyoma
APA）是一种罕见类型的息肉
其病理特征主要是肌瘤间质和子宫内膜腺体相间。APA主要发生在绝经前女性
很少发生在伴有不规则阴道出血的绝经后女性。本例76岁绝经女性表现为不规则阴道出血
最终病理诊断为APA。APA在手术前不易诊断：一方面
APA的影像学和临床特征无明显的特殊性
尤其是在与子宫内膜癌的鉴别方面;另一方面
APA有一个蒂
可以附着在宫腔的任何部分
这可能导致肿块与宫腔壁之间形成假腔
因此
在没有宫腔镜检查的情况下获取病理组织时
很容易通过假腔获得子宫内膜组织
而不是肿块的病理组织。因此
术前影像学检查对临床医师诊断APA具有重要意义;同时
可在宫腔镜直视条件下获得APA的病理组织。
Abstract
Atypical polypoid adenomyoma (APA) is an uncommon type of polypoid characterized by fibroid stroma and endometrial glands. It occurs mostly in premenopausal women and rarely in postmenopausal women with irregular vaginal bleeding. In our current case
a 76-year-old woman presented with irregular vaginal bleeding. The final pathological diagnosis of the mass was APA. APA is not easy to diagnose before surgery. On the one hand
there was no obvious particularity in imaging features and clinical features
especially for uncomfortably identifying endometrial cancer. On the other hand
APA has a pedicle
attaching to any part of the uterine cavity
which can cause pseudocoel between the mass with the uterine cavity wall. So
when it comes to getting the pathological tissue in the absence of hysteroscopy
it is easy to access to the pseudocoel and obtain endometrial tissue rather than the pathological tissue of the mass. Therefore
preoperative imaging examination is of great significance diagnosis way of thinking to clinicians for APA. In the meantime
pathological tissue of APA can be obtained by hysteroscopy in visual conditions.
关键词
Keywords
references
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