A Case of Primary Cervical Endometriosis and Literature Review

敏 江
In: Advances in Clinical Medicine · 2022 · vol. 12(06) , pp. 5845–5848 · doi:10.12677/acm.2022.126845 · W4293208264
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This case report describes primary cervical endometriosis, noting its cytologic similarity to other cervical abnormalities and its potential to be overlooked in histological examination.

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This case report and literature review describes a patient with primary cervical endometriosis, highlighting the diagnostic challenges posed by its cytological similarity to other glandular abnormalities such as adenocarcinoma in situ or dysplasia. The authors emphasize that this lesion is frequently overlooked during histological examination, particularly when small biopsy specimens are analyzed. They argue that recognizing these specific characteristics is crucial for the early detection and appropriate management of the condition in clinical practice. This paper is centrally about endometriosis — specifically focusing on the rare presentation of primary disease within the cervix.

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原发性宫颈子宫内膜异位症1例并文献复习 A Case of Primary Cervical Endometriosis and Literature Review A Case of Primary Cervical Endometriosis and Literature Review DOI: 10.12677/ACM.2022.126845, PDF, 被引量 作者: 江 敏, 王晓孟, 高凌雪, 马雅茹：青岛大学附属青岛市妇女儿童医院妇科，山东 青岛 关键词: 子宫内膜异位症；宫颈子宫内膜异位症；阴道出血;Endometriosis； Cervical Endometriosis； Vaginal Bleeding 作者: 江 敏, 王晓孟, 高凌雪, 马雅茹：青岛大学附属青岛市妇女儿童医院妇科，山东 青岛 关键词: 子宫内膜异位症；宫颈子宫内膜异位症；阴道出血;Endometriosis； Cervical Endometriosis； Vaginal Bleeding 摘要: 宫颈子宫内膜异位症的细胞学表现与其他腺体异常相似，如宫颈管腺发育不良、原位腺癌或伴有腺体受累的非典型鳞状上皮化生。在组织学检查中该类病变很容易被忽视，特别是在小活检标本中。我们报告了一例原发性宫颈子宫内膜异位症，对临床工作中宫颈子宫内膜异位症的早期发现、早期诊治具有重要的意义。 Abstract: The cytologic presentation of cervical endometriosis is similar to other glandular abnormalities, such as cervical ductal glandular dysplasia, adenocarcinoma in situ, or atypical squamous epithelial hyperplasia with glandular involvement. This type of lesion is easily overlooked in histological ex-amination, especially in small biopsy specimens. We report a case of primary cervical endometriosis, which has important implications for the early detection and management of cervical endometriosis in clinical work. 文章引用：江敏, 王晓孟, 高凌雪, 马雅茹. 原发性宫颈子宫内膜异位症1例并文献复习[J]. 临床医学进展, 2022, 12(6): 5845-5848. https://doi.org/10.12677/ACM.2022.126845 | [1] | Yang, C.X. and Mao, Y.D. (2018) Advances in the Treatment of Infertility Associated with Endometriosis by Laparos-copy. Chinese Journal of Reproduction and Contraception, 38, 667-670. | | [2] | Horton, J., Sterrenburg, M., Lane, S., et al. (2019) Reproductive, Obstetric, and Perinatal Outcomes of Women with Adenomyosis and Endometriosis: A Sys-tematic Review and Meta-Analysis. Human Reproduction Update, 25, 592-632. [Google Scholar] [CrossRef] [PubMed] | | [3] | Chapron, C., Marcellin, L., Borghese, B., et al. (2019) Rethinking Mechanisms, Diagnosis and Management of Endometriosis. Nature Reviews Endocrinology, 15, 666-682. [Google Scholar] [CrossRef] [PubMed] | | [4] | Wong, F.W., Lim, C.E., Karia, S., et al. (2010) Cervical Endome-triosis: Case Series and Review of Literature. The Journal of Obstetrics and Gynaecology Research, 36, 916-919. [Google Scholar] [CrossRef] [PubMed] | | [5] | Sharpe-Timms, K.L. (2005) Defining Endometrial Cells: The Need for Improved Identification at Ectopic Sites and Characterization in Eutopic Sites for Developing Novel Meth-ods of Management for Endometriosis. Fertility and Sterility, 84, 35-37. [Google Scholar] [CrossRef] [PubMed] | | [6] | Seval, M.M., Cavkaytar, S., Atak, Z., et al. (2013) Postcoital Bleeding Due to Cervical Endometriosis. BMJ Case Reports, 2013. [Google Scholar] [CrossRef] [PubMed] | | [7] | Phadnis, S.V., Doshi, J.S., Ogunnaike, O., et al. (2005) Cervical Endometriosis: A Diagnostic and Management Dilemma. Archives of Gynecology and Obstetrics, 272, 289-293. [Google Scholar] [CrossRef] [PubMed] | | [8] | Ye, M., Huang, L. and Wang, Y. (2012) A Massive Haemorrhage Caused by Rupture of Cystic Cervical Endometriosis. Journal of Obstetrics and Gynaecology, 32, 498-499. [Google Scholar] [CrossRef] [PubMed] | | [9] | Uehara, T., Yoshida, H., Kondo, A., et al. (2020) A Case of Cervical Adenocarnoma Arising from Endometriosis in the Absence of Human Papilloma Virus Infection. The Journal of Obstetrics and Gynaecology Research, 46, 536-541. [Google Scholar] [CrossRef] [PubMed] |

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