PDF(Pubmed)
Abstract：
UNASSIGNED: A cervical stump fibroid is a rare type of leiomyoma (fibroid) that occurs in the remaining cervical tissue following a subtotal hysterectomy. In this procedure the uterus is removed but the cervix is left intact. Cervical stump fibroids are quite rare, with studies indicating that they occur in less than 1 % of women who have undergone subtotal hysterectomy. The present report describes a rare case of uterine fibroid arising from the cervical stump 7 years after subtotal hysterectomy. The aim is to strengthen the existing literature and aid clinicians in the management of similar cases.
METHODS: A 45-year-old female presented with a history of abdominal distension, abdominal pain, and bilateral lower limb swelling for 1 year. An abdominal Computed Tomography (CT) scan with contrast and Magnetic Resonance Imaging (MRI) revealed a large multilobulated mass in the pelvis measuring 14.3 × 7.4 × 21.1 cm. The mass displaces and compresses the urinary bladder anteriorly and the rectosigmoid colon posteriorly. Additionally, there is compression of the distal ureters bilaterally with resultant bilateral hydroureteronephrosis. The patient underwent explorative laparotomy and post-operative recovery was uneventful. The final histopathological report showed the diagnosis of uterine fibroid.
UNASSIGNED: In this case report, we discuss the condition\'s rarity, related reports in the literature, and the numerous difficulties clinicians face when encountering a patient with cervical leiomyomas.
CONCLUSIONS: This case highlights the importance of long-term follow-up for patients post-supracervical hysterectomy, adds to the existing literature, and provides insight to healthcare providers in handling similar cases. Patients who are affected should receive appropriate counseling on postoperative care, recurrence after treatment, and the value of early and regular follow-up visits.
METHODS: A 45-year-old female presented with a history of abdominal distension, abdominal pain, and bilateral lower limb swelling for 1 year. An abdominal Computed Tomography (CT) scan with contrast and Magnetic Resonance Imaging (MRI) revealed a large multilobulated mass in the pelvis measuring 14.3 × 7.4 × 21.1 cm. The mass displaces and compresses the urinary bladder anteriorly and the rectosigmoid colon posteriorly. Additionally, there is compression of the distal ureters bilaterally with resultant bilateral hydroureteronephrosis. The patient underwent explorative laparotomy and post-operative recovery was uneventful. The final histopathological report showed the diagnosis of uterine fibroid.
UNASSIGNED: In this case report, we discuss the condition\'s rarity, related reports in the literature, and the numerous difficulties clinicians face when encountering a patient with cervical leiomyomas.
CONCLUSIONS: This case highlights the importance of long-term follow-up for patients post-supracervical hysterectomy, adds to the existing literature, and provides insight to healthcare providers in handling similar cases. Patients who are affected should receive appropriate counseling on postoperative care, recurrence after treatment, and the value of early and regular follow-up visits.
摘要：
■宫颈残端纤维瘤是一种罕见的平滑肌瘤（纤维瘤），发生在子宫次全切除术后的剩余宫颈组织中。在此过程中，子宫被切除，但子宫颈保持完整。宫颈残端肌瘤相当罕见，研究表明，只有不到1%的女性接受了次全子宫切除术。本报告描述了子宫次全切除术7年后宫颈残端引起的子宫肌瘤的罕见病例。目的是加强现有文献并帮助临床医生管理类似病例。
方法：一名45岁女性，有腹胀史，腹痛,双侧下肢肿胀1年。腹部计算机断层扫描（CT）增强扫描和磁共振成像（MRI）显示骨盆中有一个大的多小叶肿块，大小为14.3×7.4×21.1cm。肿块向前移位并压迫膀胱，向后移位并压迫直肠乙状结肠。此外,双侧输尿管远端受压，导致双侧输尿管肾积水。患者接受了剖腹探查术，术后恢复顺利。最终的组织病理学报告显示诊断为子宫肌瘤。
■在此案例报告中，我们讨论条件的稀有性，文献中的相关报道，以及临床医生在遇到宫颈平滑肌瘤患者时面临的许多困难。
结论：这个案例强调了宫颈上子宫切除术后患者长期随访的重要性，增加了现有的文献，并为医疗保健提供者处理类似案件提供见解。受影响的患者应接受适当的术后护理咨询，治疗后复发，以及早期和定期随访的价值。
方法：一名45岁女性，有腹胀史，腹痛,双侧下肢肿胀1年。腹部计算机断层扫描（CT）增强扫描和磁共振成像（MRI）显示骨盆中有一个大的多小叶肿块，大小为14.3×7.4×21.1cm。肿块向前移位并压迫膀胱，向后移位并压迫直肠乙状结肠。此外,双侧输尿管远端受压，导致双侧输尿管肾积水。患者接受了剖腹探查术，术后恢复顺利。最终的组织病理学报告显示诊断为子宫肌瘤。
■在此案例报告中，我们讨论条件的稀有性，文献中的相关报道，以及临床医生在遇到宫颈平滑肌瘤患者时面临的许多困难。
结论：这个案例强调了宫颈上子宫切除术后患者长期随访的重要性，增加了现有的文献，并为医疗保健提供者处理类似案件提供见解。受影响的患者应接受适当的术后护理咨询，治疗后复发，以及早期和定期随访的价值。
