一例罕见的宫颈子宫内膜异位症

A Rare Case of Cervical Endometriosis

宫颈的子宫内膜异位症(endometriosis,EMs)和宫颈恶性黑色素瘤(cervical malignant melanoma)是两种较罕见的疾病,在疾病早期阶段均无特异性的临床表现。报告1例被误诊为宫颈恶性黑色素瘤的宫颈EMs病例。患者为51岁女性,无任何临床症状,仅在专科检查时发现了病变。该患者于2023年10月25日行宫颈环形电切术(loop electrosurgical excision procedure,LEEP),最后通过病理检查诊断。查阅相关文献,总结宫颈EMs和宫颈恶性黑色素瘤的疾病特点,,以提高临床医生对这两种疾病的理解和认识。结合本病例的临床特点和诊疗经过,本文探讨宫颈EMs和宫颈恶性黑色素瘤这两种疾病的诊断、鉴别诊断及治疗,分析容易被误诊的原因及防范误诊的措施。

The cervical endometriosis and the cervical malignant melanoma are two rare diseases with no specific clinical manifestations in the early stage of the disease.We reported a case of the cervical endometriosis misdiagnosed as the malignant melanoma of the cervix.The patient was a 51-year-old woman with no clinical symptoms and the lesion was only discovered during a specialist examination.The patient underwent loop electrosurgical excision procedure(LEEP)of cervix on October 25,2023 and was finally diagnosed by pathological examination.We summarized the characteristics of cervical endometriosis and cervical malignant melanoma by referring to relevant literature,so as to improve the understanding and knowledge of these two diseases.Combined with the clinical characteristics and treatment process of this case,the diagnosis and differential diagnosis,and the treatment of these two diseases were discussed,including the causes of misdiagnosis and the prevention of misdiagnosis.