Endometriosis of the perineum
Endometriosis of the perineum
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DOI：
10.1111/jog.12003
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发表时间：
2013-05-01
影响因子：
1.6
通讯作者：
Narahara, Hisashi
中科院分区：
文献类型：
--
作者：
Nasu, Kaei;Okamoto, Mamiko;Narahara, Hisashi
会阴和外阴的子宫内膜异位症是非常罕见的，最常见的部位是会阴切口疤痕。我们在此报告一个自发性会阴子宫内膜异位症的病例，以局部切除术成功治疗。一名39岁的妇女被承认抱怨一个痛苦的外阴肿块与周期性肿胀。她第一次注意到这个肿块是在七年前，它的体积逐渐增大。妇科检查发现左会阴部有一个核桃大小的疼痛性皮下肿块。磁共振成像显示一个多小叶囊性肿块，内部出血，提示外阴子宫内膜异位症。病人接受局部切除外阴肿块，并实现完全切除。切除组织的病理诊断为子宫内膜异位症。患者在局部切除后5个月没有疾病迹象。自发性会阴和外阴子宫内膜异位症是非常罕见的。然而，任何病变的发展，在月经周期应考虑子宫内膜异位症。
Endometriosis of the perineum and vulva is extremely rare, with the most common site being episiotomy scars. We report here a case of spontaneously developing perineal endometriosis successfully treated with local excision. A 39-year-old woman was admitted complaining of a painful vulvar lump with cyclic swelling. She had first noticed the mass 7 years before, and it had gradually increased in size. Gynecological examination showed a walnut-size, painful, subcutaneous mass in the left perineum. Magnetic resonance imaging revealed a multilobular cystic mass with inner hemorrhage, suggesting vulvar endometriosis. The patient was treated by local excision of the vulvar mass, and complete excision was achieved. The pathological diagnosis of the excised tissue was endometriosis. The patient is well without evidence of disease 5 months following the local excision. Spontaneous perineal and vulvar endometriosis is extremely rare. However, any lesion that evolves in response to the menstrual cycle should be considered endometriosis.