年轻女性以宫颈呈桶状增大为主要体征的子宫内膜样腺癌1例
A Case of Endometrioid Adenocarcinoma with Barrel-Shaped Enlargement of the Cervix as the Main Sign in a Young Woman
DOI: 10.12677/ACM.2022.12121606, PDF,   
作者: 吕新鑫：山西医科大学，山西 太原；闫丽隽*：山西省肿瘤医院，山西 太原
关键词: 年轻女性；继发不孕；子宫内膜癌；Young Women； Acquired Infertility； Endometrial Cancer
摘要: 目的：探讨年轻女性患子宫内膜癌的高危因素、诊疗要点及鉴别诊断，旨在提高该病术前确诊率。方法：对山西医科大学第二医院收治的1例子宫内膜癌患者进行回顾性分析并复习相关文献。结果：本例患者系34岁女性，因症状及体征不典型被误诊，经术后病检最终诊断为低分化子宫内膜样腺癌。结论：以宫颈增大为首发体征的子宫内膜癌患者在临床较罕见，宫腔镜检查及分段诊刮术是确诊手段。
Abstract: Objective: The aim of this study is to discuss the risk factors, treatment points and differential di-agnosis of endometrial cancer in young women, with the aim of improving the preoperative diagno-sis rate of this disease. Methods: A case of endometrial carcinoma admitted to the Second Hospital of Shanxi Medical University was retrospectively analyzed and related literature was reviewed. Re-sults: In this case, a 34-year-old woman was misdiagnosed due to atypical symptoms and signs and was finally diagnosed with hypofractionated endometrioid adenocarcinoma on postoperative ex-amination. Conclusion: The patients with endometrial cancer with cervical enlargement as the first sign are rare in clinic. Hysteroscopy and segmental curettage are the diagnostic methods.
文章引用：吕新鑫, 闫丽隽. 年轻女性以宫颈呈桶状增大为主要体征的子宫内膜样腺癌1例[J]. 临床医学进展, 2022, 12(12): 11140-11144. https://doi.org/10.12677/ACM.2022.12121606

参考文献

[1] 李慧, 程静新. 宫颈腺癌与子宫内膜样腺癌[J]. 实用妇产科杂志, 2016, 32(8): 572-574.
[2] Xia, C., Dong, X., Li, H., et al. (2022) Cancer Statistics in China and United States, 2022: Profiles, Trends, and Determinants. Chinese Medical Journal, 135, 584-590. [Google Scholar] [CrossRef] 
[3] He, R., Zhu, B., Liu, J., et al. (2021) Women’s Cancers in China: A Spatio-Temporal Epidemiology Analysis. BMC Womens Health, 21, 116. [Google Scholar] [CrossRef] [PubMed]
[4] Zhao, S., Chen, L., Zang, Y., et al. (2022) Endometrial Cancer in Lynch Syndrome. International Journal Gynecological Cancer, 150, 7-17. [Google Scholar] [CrossRef] [PubMed]
[5] Lucchini, S.M., Esteban, A., Nigra, M.A., et al. (2021) Updates on Con-servative Management of Endometrial Cancer in Patients Younger than 45 Years. Gynecologic Oncology, 61, 802-809. [Google Scholar] [CrossRef] [PubMed]
[6] Son, J., Carr, C., Yao, M., et al. (2020) Endometrial Cancer in Young Women: Prognostic Factors and Treatment Outcomes in Women Aged ≤ 40 Years. International Journal Gyne-cological Cancer, 30, 631-639. [Google Scholar] [CrossRef] [PubMed]
[7] Matsuo, K., Mandelbaum, R.S., Matsuzaki, S., et al. (2021) Ovarian Conservation for Young Women with Early-Stage, Low-Grade Endometrial Cancer: A 2-Step Schema. American Jour-nal of Obstetrics and Gynecology, 224, 574-584. [Google Scholar] [CrossRef] [PubMed]
[8] Duska, L.R., Garrett, A., Rueda, B.R., et al. (2001) Endometrial Cancer in Women 40 Years Old or Younger. Gynecologic Oncology, 83, 388-393. [Google Scholar] [CrossRef] [PubMed]
[9] Rosen, M.W., Tasset, J., Kobernik, E.K., et al. (2019) Risk Factors for Endometrial Cancer or Hyperplasia in Adolescents and Women 25 Years Old or Younger. Journal of Pediatric and Adolescent Gynecology, 5, 546-549. [Google Scholar] [CrossRef] [PubMed]
[10] 汪沙, 段华, 郭政晨. 非HPV感染相关宫颈腺癌的临床病理学研究进展[J]. 肿瘤医学, 2022, 28(1): 57-62.
[11] Chen, M., Li, J., Yin, X., et al. (2021) Laparoscopic Radical Pelvic Dissection for Safely Removing a Large Cervical Myoma. International Journal Gynecological Cancer, 31, 633-634. [Google Scholar] [CrossRef] [PubMed]

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