子宫间皮囊肿误诊肌瘤囊性变一例

A Case of Uterine Mesothelial Cyst Misdiagnosed as Leiomyoma with Cystic Degeneration

间皮囊肿是来源于间皮细胞的一种良性肿瘤性病变,主要累及盆腹腔腹膜,以肠系膜及大网膜多见,较少发生于子宫。报告南京医科大学第一附属医院收治的1例子宫间皮囊肿患者误诊为子宫肌瘤囊性变的诊治经过。该患者术前无典型临床表现,主要依据影像学特点诊断为子宫肌瘤囊性变并进行全子宫+双侧输卵管切除术,术后病理确诊为子宫间皮囊肿。通过回顾分析该患者的诊治经过并结合文献复习,探讨子宫间皮囊肿的鉴别诊断及治疗方式,以期提高妇科医生对该疾病的认识,避免误诊和漏诊。

Mesothelial cyst is a benign neoplastic lesion derived from mesothelial cells,mainly involves pelvic peritoneum and peritoneal peritoneum.It is more common in mesentery and omentum majus,and less in uterus.This paper reports the diagnosis and management of a patient with uterine mesothelial cyst misdiagnosed as leiomyoma with cystic degeneration in the First Affiliated Hospital of Nanjing Medical University.This patient with no typical clinical manifestations preoperatively was diagnosed as leiomyoma with cystic degeneration and underwent total hysterectomy and bilateral salpingo-oophorectomy,mainly based on imaging characteristics.But the postoperative pathology,indicated uterine mesothelial cyst.This paper analyzes the diagnosis and treatment of the patient and reviews relevant literature,discuss the differential diagnosis and treatment of uterine mesothelial cyst,in order to improve the academic vision of the disease in gynecologists and avoid misdiagnosis and underdiagnosis.