国际生殖健康/计划生育杂志 ›› 2023, Vol. 42 ›› Issue (4): 301-303.doi: 10.12280/gjszjk.20220578

• 病例报告 • 上一篇    下一篇

剖宫产瘢痕处黏膜下成熟性畸胎瘤一例并文献复习

陈莉, 侯涛   

  1. 514031 广东省梅州市,梅州市人民医院妇科
  • 收稿日期:2022-12-10 出版日期:2023-07-15 发布日期:2023-07-26

Submucosal Mature Teratoma in Cesarean Section Scar: A Case Report and Literature Review

CHEN Li, HOU Tao   

  1. Department of Gynecology, Meizhou People′s Hospital, Meizhou 514031, Guangdong Province, China
  • Received:2022-12-10 Published:2023-07-15 Online:2023-07-26

摘要:

回顾性分析收治的1例子宫畸胎瘤患者的围手术期资料及随访情况。该患者为34岁女性,有2次剖宫产史,主要表现为月经异常,阴道彩色超声示宫腔占位,宫腔镜术中见肿物位于剖宫产瘢痕处,外观边界清,切开肿物见黏稠油脂样物,囊壁光滑,未见骨骼及毛发组织。病理检查提示为成熟性畸胎瘤,术后1个月和6个月复查超声提示宫腔未见异常,预后良好。

关键词: 畸胎瘤, 剖宫产术, 瘢痕, 憩室

Abstract:

One case of uterine teratoma admitted to our hospital was retrospectively analyzed, including the perioperative data and follow-up data. The patient was a woman aged 34 years, with a history of two caesarean sections. She had abnormal menstruation. Vaginal color Doppler ultrasound showed that a mass occupied the uterine cavity. Under hysteroscopy, the tumor was found to be located at the scar of caesarean section with a clear appearance boundary. The viscous oil flowed out when the tumor was cut. The cyst wall was smooth, and no bone and hair tissue were found. Pathological examination revealed a mature teratoma. Follow-up visit for 1 month and 6 months showed a good prognosis, and ultrasound examination revealed no abnormalities in the uterine cavity.

Key words: Teratoma, Cesarean section, Cicatrix, Diverticulum