子宫腔内异物一例

Valli Priyaa P, Senthilkumaran D, B. Srinivasamurthy, R. Bhat
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摘要

报告一例罕见的子宫内膜腔骨性物质伴髓外造血的异常发现,并简要回顾文献。44岁女性P1L1,主诉阴道出血过多12个月。盆腔检查显示子宫约16周大。放射科医生发现钙化物质(?子宫前壁内的异物。全子宫切除术后送我们做组织病理检查。子宫切面,可见一个骨针状体自由地躺在子宫腔内。组织病理学证实了异物的骨性,并显示出造血成分。由于相关的子宫内膜炎的发现,有很高的怀疑保留胎儿制品在这个情况下。识别子宫内膜腔内的骨性物质为良性实体对于避免在显微镜下误诊为癌肉瘤很重要,但完整的临床病理相关性确保正确诊断,并排除妊娠、结核病和血液学疾病的残留产物。子宫腔内异物的诊断和及时治疗可能是必要的,以避免不孕症和异常出血等并发症。
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Intriguing case of foreign body in uterine cavity
: To present a rare case of endometrial cavity osseous material with an unusual finding of extramedullary hematopoiesis and a brief review of literature.: A 44-year-old female P1L1 with complaints of excessive bleeding per vaginum for 12 months. Pelvic examination showed approximately 16 weeks sized uterus. Radiologists found calcific material (?foreign body) in the anterior fundal wall of uterus. Total hysterectomy was done and sent to us for histopathological examination. On sectioning uterus, a bony spicule was seen freely lying within the cavity. Histopathology confirmed the bony nature of the foreign material which also showed hematopoietic component. Due to the associated finding of endometritis, there was high suspicion of retained fetal products in this case.: Recognition of osseous material within the endometrial cavity as a benign entity is important to avoid misdiagnosis as Carcinosarcoma microscopically, however complete clinicopathological correlation ensures correct diagnosis and to rule out retained products of conception, tuberculosis, and hematologic disease. Diagnosis and prompt treatment of foreign body within uterine cavity may be necessary to avoid complications like infertility and abnormal bleeding.
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