脐孔子宫内膜异位症4例报道并文献复习

Umbilical endometriosis:a report of 4 cases and literature review

目的探讨脐孔子宫内膜异位症临床发病特点、诊断和治疗策略。方法分析4例脐孔子宫内膜异位症患者的临床资料,并进行相关文献复习回顾。结果4例患者行脐部异位内膜切除术,病理组织学提示真皮下纤维组织内存在子宫内膜腺体、间质和含铁血黄素的巨噬细胞,证实为脐孔子宫内膜异位症,术后随访无复发。结论脐孔子宫内膜异位症发病率较低,但存在复发和恶性转化的可能,临床上应重视妇科体检,早发现早治疗,并结合病理活检予以确诊,减少漏诊和提高治愈率。

Objective To investigate the clinical characteristics,diagnosis and treatment strategy of umbilical endometriosis.Methods The clinical data of 4 cases with umbilical endometriosis were analyzed and the related literatures were reviewed.Results Ectopic umbilical endarterectomy was performed in 4 patients.Histopathology showed that there were endometrial glands,stroma and macrophages containing hemosiderin in subdermal fibrous tissue,which was confirmed asumbilical endometriosis.Conclusion The incidence rate of umbilical endometriosis is low,but there is a possibility of recurrence and malignant transformation.Gynecological examination should be emphasized in clinic.Early detection and early treatment should be paid attention to,and combined with pathological biopsy,diagnosis should be made to reduce missed diagnosis and improve the cure rate.