Large pelvic mass arising from the cervical stump: A case report
Large pelvic mass arising from the cervical stump: A case report
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DOI：
10.12998/wjcc.v8.i1.0000
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Xue Fengxia
中科院分区：
文献类型：
--
作者：
Zhang kai;Jiang Jinghong;Hu Jiali;Liu Yulin;Zhang Xuhong;Wang Yingmei;Xue Fengxia
BACKGROUND.A large cervical cyst with a cervical high-grade squamous intraepithelial lesion.arising from the cervical stump is rare. After supracervical hysterectomy, there is.a risk of various lesions occurring in the cervical stump. We review the types and.characteristics of cervical stump lesions and compare total hysterectomy with.subtotal hysterectomy. Gynecologists should choose the most suitable surgical.method based on both the patient’s condition and wishes. If the cervix is retained,.patients require a close follow-up..CASE SUMMARY.A 57-year-old woman was admitted to the Gynecology Department for a large.pelvic mass. Her chief complaint was abdominal distention for two months. She.had undergone subtotal supracervical hysterectomy for leiomyoma 14 years.prior. Abdominal ultrasonography detected a 9.1 cm × 8.5 cm × 8.4 cm anechoic.mass with silvery fluid in the pelvic cavity and high-risk human papilloma virus.53 (HPV53) was positive. The admission diagnosis we first considered was a.pelvic mass mimicking carcinoma of the cervical stump. We performed a.laparotomy and a rapid frozen biopsy was suggestive of a fibrous cyst wall.coated with a high squamous intraepithelial lesion. The pelvic mass was.removed, and a bilateral adnexectomy was implemented. Final pathology.confirmed that the pelvic mass was a large inflammatory cyst with a cervical.high-grade squamous intraepithelial lesion. After successful intervention, the.patient was discharged one week after surgery and there was no recurrence of.the vaginal stump at 43 mo..CONCLUSION.When addressing benign uterine diseases, gynecologists should pay adequate.attention to retaining the cervix. If the cervix is retained, patients require a close.follow-up.
