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題名 | 腹壁子宮內膜異位症--二病例報告=Abdominal Wall Endometriosis--Report of Two Cases |
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作者 | 陳光華; 劉玉麒; 韓志平; 陳賜生; 林有嘉; | 書刊名 | 中華民國家庭醫學雜誌 |
卷期 | 8:1 1998.03[民87.03] |
頁次 | 頁40-45 |
分類號 | 417.27 |
關鍵詞 | 子宮內膜異位症; 腹壁腫瘤; Cutaneous endometriosis; Abdominal wall mass; |
語文 | 中文(Chinese) |
中文摘要 | 表皮或皮下子宮內膜異位症通常是發生在外科瘢痕上,以剖腹生產之瘢 痕最為常見。自發性之表皮子宮內膜異位症則相當少見。本篇中報告兩例非 外科瘢痕之自發性腹壁子宮內膜異位症。同時討論其發生機轉,診斷方式, 及治療方法。 兩位婦女同樣主訴一多年之疼痛性腹壁腫瘤,一個發生在左下腹壁,另 一個則是在右側鼠蹊部。同樣具有典型之症狀;周期性月經期時腫瘤疼痛加 劇及變大。兩人都接受了外科手術切除及切片檢查。病理報告證實為子宮內 膜異位症。 我們建議任何生育年齡婦女若主訴有一周期性疼痛之腹壁腫瘤時,表皮 子宮內膜異位症需高度懷疑。治療原則為施行外科手術將腫瘤完全切除。一 般在骨盆腔子宮內膜異位症中所使用之荷爾蒙療法則保留在手術後再次復發 之病人及手術無法完全切除之病人中使用。 |
英文摘要 | Cutaneous/subcutaneous endometriosis is classically associated with surgical scars, most notably cesarean section scars. The spontaneous occurrence has been rarely reported. We report two cases of abdominal wall endometriosis not associated with surgical scars. The mechanism of cutaneous endometriosis, diagnostic criteria and treatment modalities are also discussed. Two women all complained with a painful abdominal wall mass for years, one in the left lower quadrant and one in right inguinal region. The typical symptoms were cyclic exacerbation of painfulness and increasing of tumor size with menstruation. The all received excisional biopsy and pathologic examination confirmed endometriosis. We suggest that cutaneous endometriosis should be highly suspected in the patients with cyclic painful abdominal wall mass in their reproductive age. The primary treatment is complete surgical excision. Hormonal therapy used in management of pelvic enddometriosis should be reserved for the patients with recurrent disease or incomplete surgical excision. |
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