Adenoma malignum of the uterine cervix detected by imaging methods in a patient with Peutz-Jeghers syndrome.
Adenoma malignum of the uterine cervix detected by imaging methods in a patient with Peutz-Jeghers syndrome.
复制标题
通过影像学方法检测黑斑息肉综合征患者的宫颈恶性腺瘤。
作者：
N. Tsuruchi;N. Tsukamoto;T. Kaku;T. Kamura;H. Nakano
子宫颈腺瘤在一个25岁的日本妇女与Peutz-Jeghers综合征（PJS）的描述。通过CT扫描、超声检查和MR成像检测到颈部多囊性肿块。尽管巴氏涂片、阴道镜检查和宫颈活检报告正常，但这些影像学检查结果强烈提示存在腺瘤。经锥切术证实为子宫腺瘤后，行根治性子宫切除术、双侧输卵管卵巢切除术、盆腔淋巴结切除术和腹主动脉旁淋巴结活检。双侧卵巢显示多中心性索肿瘤伴环状小管。手术后23个月，她还活着，没有疾病的迹象。影像学检查包括超声波检查、CT扫描和MR成像可能有助于发现垂体腺瘤的存在，尤其是在PJS患者中。
Adenoma malignum of the uterine cervix in a 25-year-old Japanese woman with Peutz-Jeghers syndrome (PJS) is described. A cervical multicystic mass was detected by CT scan, sonography, and MR imaging. These imaging findings strongly suggested the presence of adenoma malignum in spite of normal Pap smear, colposcopy, and cervical biopsy reports. Radical hysterectomy, bilateral salpingo-oophorectomy, pelvic lymphadenectomy, and para-aortic lymph node biopsy were performed after confirmation of adenoma malignum by conization. Both ovaries showed multicentric sex cord tumor with annular tubules. She is alive and well with no evidence of disease 23 months after surgery. Imaging methods including sonography, CT scan, and MR imaging may be useful aids in detecting the presence of adenoma malignum, especially in patients with PJS.