Acute urinary retention caused by endometrial carcinoma withlarge cystic cervix
Acute urinary retention caused by endometrial carcinoma withlarge cystic cervix
复制标题
子宫内膜癌伴宫颈巨大囊性病变致急性尿潴留
DOI：
10.1007/s00404-010-1635-6
复制
发表时间：
2011
影响因子：
2.6
通讯作者：
Morita H.
中科院分区：
文献类型：
--
作者：
Takeuchi K;Tsujino T;Yabuta M;Morita H.
IntroductionsSeveral盆腔肿块已被称为引起尿潴留由于质量效应与膀胱被阻塞继发于尿道或膀胱neck.Materials和MethodsWe的压缩报告的子宫内膜癌的一个非常罕见的情况下，一个扩大的囊性宫颈，导致急性尿潴留。一名92岁的妇女被转诊为急性尿潴留。阴道超声显示宫颈有一个70 × 70 × 65 cm大小的囊性病变。切开引流后，排尿立即恢复正常。切口后进行的超声检查显示宫腔内有一个蜂窝状的高回声肿块。子宫内膜活检显示子宫内膜高分化腺癌。全子宫切除术和双侧输卵管卵巢切除术performed.ConclusionThe可能存在的子宫内膜癌时，应考虑子宫颈扩大，临床怀疑在一个老年妇女，即使没有阴道分泌物或出血。
IntroductionSeveral pelvic masses have been known to cause urinary retention due to a mass effect with the bladder being obstructed secondary to compression of the urethra or bladder neck.Materials and methodsWe report the extremely rare case of endometrial carcinoma with an enlarged cystic cervix which resulted in acute urinary retention. A 92-year-old woman was referred for acute urinary retention. Vaginal ultrasound revealed a 70 × 70 × 65 cm-sized cystic lesion in the cervix. Voiding became normal immediately after the incision and drainage of the mass. Ultrasound performed after the incision revealed a hyperechogenic mass with a honeycomb appearance in the uterine cavity. Endometrial biopsy revealed well-differentiated adenocarcinoma of the endometrium. Total hysterectomy and bilateral salpingo-oophorectomy was performed.ConclusionThe possible existence of endometrial carcinoma should be considered when the enlargement of cervix is clinically suspected in an elderly woman even if there is no vaginal discharge or bleeding.