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盆腔外子宫内膜异位症1例临床分析并文献复习
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Abstract:
目的:为处理盆腔外子宫内膜异位症相关病例提供参考。病例:回顾了分析1例于青岛大学附属医院住院治疗的盆腔外子宫内膜异位症患者的临床资料,并对相关文献进行复习。该患者入院后完善相关辅助检查,行右侧腹股沟肿物切除术。结论:盆腔外子宫内膜异位症可能并不那么罕见,其及时诊断和适当治疗需要提高临床对这种疾病的认识。由于患者通常最初出现非妇科科室,多学科合作的方法是诊疗该病的关键。
Objective: To provide reference for the management of extra-pelvic endometriosis. Cases: The clinical data of a patient with extra-pelvic endometriosis hospitalized in the Affiliated Hospital of Qingdao University were reviewed and analyzed, and the relevant literature was reviewed. After admission, the patient underwent relevant auxiliary examination and resection of right groin mass. Conclusions: extra-pelvic endometriosis may not be all that rare, and its prompt diagnosis and appropriate treatment require increased clinical awareness of this disease. Since patients often present in non-gynecological departments initially, multidisciplinary collaboration and approaches are the key to the management of the disease.
[1] | Zondervan, K.T., Longo, D.L., Becker, C.M., et al. (2020) Endometriosis. New England Journal of Medicine, 382, 1244-1256. https://doi.org/10.1056/NEJMra1810764 |
[2] | Vinatier, D., Orazi, G., Cosson, M., et al. (2001) Theories of Endometriosis. European Journal of Obstetrics & Gynecology and Reproductive Biology, 96, 21-34. https://doi.org/10.1016/S0301-2115(00)00405-X |
[3] | Smolarz, B., Szy??o, K. and Romanowicz, H. (2021) Endometriosis: Epidemiology, Classification, Pathogenesis, Treatment and Genetics (Review of Literature). International Journal of Molecular Sciences, 22, Article No. 10554. https://doi.org/10.3390/ijms221910554 |
[4] | Horne, A.W. and Missmer, S.A. (2022) Pathophysiology, Diagnosis, and Management of Endometriosis. BMJ, 379, e070750. https://doi.org/10.1136/bmj-2022-070750 |
[5] | 刘婷, 张伶俐, 范孝盈, 等. 子宫内膜异位症的孕激素抵抗机制的研究进展[J]. 中国优生与遗传杂志, 2023, 31(12): 2612-2616. |
[6] | 谢幸, 孔北华, 段涛, 主编, 林仲秋, 狄文, 马丁, 曹云霞, 漆洪波, 副主编. 妇产科学[M]. 第9版. 北京: 人民卫生出版社, 2018. |
[7] | Hirata, T., Koga, K. and Osuga, Y. (2020) Extra-Pelvic Endometriosis: A Review. Reproductive Medicine and Biology, 19, 323-333. https://doi.org/10.1002/rmb2.12340 |
[8] | Burney, R.O. and Giudice, L.C. (2012) Pathogenesis and Pathophysiology of Endometriosis. Fertility and Sterility, 98, 511-519. https://doi.org/10.1016/j.fertnstert.2012.06.029 |
[9] | Cousins, F.L., O, D.F. and Gargett, C.E. (2018) Endometrial Stem/Progenitor Cells and Their Role in the Pathogenesis of Endometriosis. Best Practice & Research Clinical Obstetrics & Gynaecology, 50, 27-38. https://doi.org/10.1016/j.bpobgyn.2018.01.011 |
[10] | 中国医师协会妇产科医师分会子宫内膜异位症专业委员会, 中华医学会妇产科学分会子宫内膜异位症协作组. 子宫内膜异位症长期管理中国专家共识[J]. 中华妇产科杂志, 2018, 53(12): 836-841. |
[11] | 中国医师协会妇产科医师分会, 中华医学会妇产科学分会子宫内膜异位症协作组. 子宫内膜异位症诊治指南(第三版) [J]. 中华妇产科杂志, 2021, 56(12): 812-824. |
[12] | Tang, Z.-R., Zhang, R., Lian, Z.-X., et al. (2019) Estrogen-Receptor Expression and Function in Female Reproductive Disease. Cells, 8, Article No. 1123. https://doi.org/10.3390/cells8101123 |
[13] | Arakawa, T., Fukuda, S., Hirata, T., et al. (2020) PAX8: A Highly Sensitive Marker for the Glands in Extragenital Endometriosis. Reproductive Sciences, 27, 1580-1586. https://doi.org/10.1007/s43032-020-00186-7 |
[14] | 冯静, 谢静燕. 盆腔外子宫内膜异位症的诊治进展[J]. 国际妇产科学杂志, 2022, 49(6): 704-708. |
[15] | Andres, M.P., Arcoverde, F.V.L., Souza, C.C.C., et al. (2020) Extrapelvic Endometriosis: A Systematic Review. Journal of Minimally Invasive Gynecology, 27, 373-389. https://doi.org/10.1016/j.jmig.2019.10.004 |
[16] | Indra Adi Susianto, I.A.S., Hartono, E., Kristanti, A.W., et al. (2023) Rare Case of Inguinal Endometriosis Lump: Case Report and Literature Review. Medica Hospitalia: Journal of Clinical Medicine, 10, 337-381. https://doi.org/10.36408/mhjcm.v10i3.1019 |
[17] | Jenkins, S., Olive, D.L., Haney, A., et al. (1986) Endometriosis: Pathogenetic Implications of the Anatomic Distribution. Obstetrics & Gynecology, 67, 335-338. |
[18] | Hudelist, G., Ballard, K., English, J., et al. (2011) Transvaginal Sonography vs. Clinical Examination in the Preoperative Diagnosis of Deep Infiltrating Endometriosis. Ultrasound in Obstetrics & Gynecology, 37, 480-487. https://doi.org/10.1002/uog.8935 |
[19] | Guerriero, S., Conway, F., Pascual, M.A., et al. (2020) Ultrasonography and Atypical Sites of Endometriosis. Diagnostics, 10, Article No. 345. https://doi.org/10.3390/diagnostics10060345 |
[20] | Bazot, M., Bharwani, N., Huchon, C., et al. (2016) European Society of Urogenital Radiology (ESUR) Guidelines: MR Imaging of Pelvic Endometriosis. European Radiology, 27, 2765-2775. https://doi.org/10.1007/s00330-016-4673-z |
[21] | Fujikawa, H. and Uehara, Y. (2020) Inguinal Endometriosis: Unusual Cause of Groin Pain. Balkan Medical Journal, 37, 291-292. https://doi.org/10.4274/balkanmedj.galenos.2020.2020.2.105 |
[22] | Medeiros, L.R., Rosa, M.I., Silva, B.R., et al. (2014) Accuracy of Magnetic Resonance in Deeply Infiltrating Endometriosis: A Systematic Review and Meta-Analysis. Archives of Gynecology and Obstetrics, 291, 611-621. https://doi.org/10.1007/s00404-014-3470-7 |
[23] | Arakawa, T., Hirata, T., Koga, K., et al. (2019) Clinical Aspects and Management of Inguinal Endometriosis: A Case Series of 20 Patients. Journal of Obstetrics and Gynaecology Research, 45, 2029-2036. https://doi.org/10.1111/jog.14059 |
[24] | Wolfhagen, N., Simons, N.E., De Jong, K.H., et al. (2018) Inguinal Endometriosis, a Rare Entity of Which Surgeons Should Be Aware: Clinical Aspects and Long-Term Follow-Up of Nine Cases. Hernia, 22, 881-886. https://doi.org/10.1007/s10029-018-1797-x |
[25] | Niitsu, H., Tsumura, H., Kanehiro, T., et al. (2019) Clinical Characteristics and Surgical Treatment for Inguinal Endometriosis in Young Women of Reproductive Age. Digestive Surgery, 36, 166-172. https://doi.org/10.1159/000489827 |
[26] | Li, S.-H., Sun, H.-Z., Li, W.-H., et al. (2021) Inguinal Endometriosis: Ten Case Reports and Review of Literature. World Journal of Clinical Cases, 9, 11406-11418. https://doi.org/10.12998/wjcc.v9.i36.11406 |
[27] | Horton, J.D., Dezee, K.J., Ahnfeldt, E.P., et al. (2008) Abdominal Wall Endometriosis: A Surgeon’s Perspective and Review of 445 Cases. The American Journal of Surgery, 196, 207-212. https://doi.org/10.1016/j.amjsurg.2007.07.035 |
[28] | Mu, B., Zhang, Z., Liu, C., et al. (2021) Long Term Follow-Up of Inguinal Endometriosis. BMC Women’s Health, 21, Article No. 90. https://doi.org/10.1186/s12905-021-01235-2 |
[29] | 赵艳. 腹股沟子宫内膜异位症5例临床分析[J]. 中国社区医师, 2017, 33(28): 82 84. |
[30] | 李淑红, 张震宇. 腹股沟子宫内膜异位症两例临床分析[C]//中华医学会第十次全国妇产科学术会议妇科肿瘤会场(妇科肿瘤学组、妇科病理学组). 2012: 304-305. |
[31] | Dunselman, G.A.J., Vermeulen, N., Becker, C., et al. (2014) ESHRE Guideline: Management of Women with Endometriosis. Human Reproduction, 29, 400-412. https://doi.org/10.1093/humrep/det457 |
[32] | Alsinan, F.M., Alsakran, A.S., Foula, M.S., et al. (2021) Inguinal Endometriosis in a Nulliparous Woman Mimicking an Inguinal Hernia: A Case Report with Literature Review. American Journal of Case Reports, 22, e934564. https://doi.org/10.12659/AJCR.934564 |