【完全性子宫隔患者的巨大子宫腺肌病】。

T Hansen, S Wulgaris, W Siggelkow, H Kölbl, C J Kirkpatrick
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引用次数: 2

摘要

间隔子宫是一种畸形引起的吸收缺陷的勒氏管。它可能是不完整的,或者——不太常见——完整的。我们提出一个完全子宫隔的病例,特别强调子宫内膜的改变。我们描述了一个46岁的女性患者(无孕)与已知子宫间隔的痛苦痛经。超音波显示子宫大量增大并有几个淋巴结。切除子宫,常规处理组织标本。镜下检查发现1 230克重的子宫完全隔。特别是肌层增大,呈囊性切面,有几个结节,直径达4.5 cm。组织学上,我们发现明显的子宫腺肌病伴几个平滑肌瘤。已知子宫畸形患者患有子宫内膜功能障碍,最常见的原因是子宫内膜异位症。然而,本病例报告中出现的大量子宫腺肌病合并平滑肌瘤,迄今尚未见报道。这些子宫内膜变化是重要的,因为它们显著地导致不孕。
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[Massive adenomyosis in a patient with uterus septus completus].

Septate uterus is a malformation caused by the defective resorption of the Müllerian ducts. It may be incomplete, or -- less frequently -- complete. We present a case of a uterus septus completus with special emphasis on the endometrial changes. We describe a 46-year-old female patient (nullipara) with a known uterus septus suffering from hypermenorrhea. Sonography demonstrated a massively enlarged uterus with several nodes. Hysterectomy was performed and tissue specimens were routinely processed. Macroscopical examination revealed a 1 230 g-weight uterus septus completus. In particular, the myometrium was enlarged and exhibited a cystic cut surface with several nodes measuring up to 4.5 cm. Histologically, we found prominent adenomyosis with several leiomyomas. Patients with uterine malformations are known to suffer from endometrial dysfunction, most commonly due to endometriosis. However, massive adenomyosis in combination with leiomyomas, as presented in this case report, has not been described so far. These endometrial changes are important, since they significantly contribute to infertility.

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