POSTMENOPOZAL HASTADA MALİGN GÖRÜNÜMLÜ SERVİKAL ENDOMETRİOZİS: OLGU SUNUMU

Servikal endometriozis, serviks uteride , fonksiyonel endometrial bez ve stromal dokunun bulunması şeklinde tanımlanır. Servikste nadiren ve genellikle klinik semptom vermeksizin serviks biyopsilerinin histopatolojik incelemesi sonrası insidental olarak saptanır. Diğer pelvik endometriozislerle benzer şekilde en sık reprodüktif dönemdeki kadınlarda izlenmekte olup, bizim vakamızda olduğu gibi postmenopozal dönemde ise çok nadirdir. Yine bizim vakamızda olduğu gibi persistan vajinal kanama ve kitle ile prezente olarak klinik olarak maligniteyle de karışabilmektedir. Biz bu vaka sunumunda son 3-4 aydır lekelenme şeklinde vajinal kanama ve vajenden sarkıp ele gelen kitle şikayeti olan postmenopozdaki bir hastamızdaki, servikal endometriozis olgusunu güncel yayınlar eşliğinde sunmayı amaçladık

Cervical endometriosis is defined as the presence of endometrial glands and endometrial stromal tissue at the cervix uteri. It can be usually detected with histopathological evaluation of cervical biopsies incidentally. Cervical endometriosis are usually encountered in the reproductive age, likely other pelvic endometriosis. It is a rare condition for postmenopausal group. Besides; it can be confused as a malign disease by presenting pelvic mass and bleeding at the postmenopausal period easily. In this case report, we aimed to present a cervical endometriosis case in a postmenopausal woman who has been complaining palpabl pelvic mass, spotting bleeding since 3-4 months by recent papers.

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  • 1. Kurman RJ, Ellenson LH, Ronnett BM eds: Benign diseases of the cervix. In: Blaustein’s Pathology of The Female Genital Tract. 6thed., Springer-Verlag; New York, 2011, p.181-183
  • 2. Kurman RJ, Ellenson LH, Ronnett BM eds: Diseases of the peritoneum. In: Blaustein’s Pathology of The Female Genital Tract. 6thed. Springer-Verlag; New York, 2011, p.654-656
  • 3. Park J, Kim TH, Lee HH et al. Cervikal Endometriosis in a Post-menopausal Woman: A Case Report. J Korean Soc Menopause. 2011; 17: 174-177.
  • 4. Wong FW, Lim CE, Karia S, Santos L. Cervical endometriosis: case series and review of literature. J Obstet Gynaecol Res. 2010; 36: 916-9.
  • 5. Yal›n K›l›ç ZM, Özin Y, Kaçar S et al. Intestinal endometriosis: A rare presentation of endometriosis . Akademik Gastroenteroloji Dergisi. 2008; 7(2): 114-117
  • 6. Kim TH, Lee HH, Chung SH, Kwak JJ, Park HS. Endometriosis detected in postmenopausal women not receiving menopausal hormone therapy: two case reports. J Korean Soc Menopause. 2010; 16: 176-80.
  • 7. Mendoza GO, Castanon FJ, Hernandez M, Maguregui SC, Orozco VM. Deep cervical endometriosis causing profuse vaginal bleeding. Case report and literature review. Ginecol Obstet Mex. 2009 Nov; 77(11):518-522
  • 8. Phadnis SV, Doshi JS, Ogunnaike O, Coady A, Padwick M,Sanusi FA. Cervical endometriosis: a diagnostic and management dilemma. Arch Gynecol Obstet. 2005; 272: 289-93.
  • 9. Kumbak B, Gezer A, ‹lvan fi, Iflõlo¤lu H, Erel T. Vulvar endometrioma: A case report. Cerrahpafla J Med. 2003; 34:36-38.
  • 10. Ata B, Atefl U, Usta T, Attar E. Cervical Endometriosis, a Case Presenting With Intractable Spotting. MedGenMed. 2005; 7(2): 64
  • 11. Wang S, Li XC, Lang JH. Cervical endometriosis: clinical character and management experience in a 27-year span. Am J Obstet Gynecol. 2011; 205:452.e1-5
  • 12. Yokota N, Yoshida H, Sakakibara H, Inayama Y, Hirahara F. A. Severe vaginal hemorrhage caused by cervical endometriosis. Am J Obstet Gynecol. 2008; 199: e12- 3.
  • 13. Ojeme DS, Freeman T, Haq Khan WN. Post-coital bleeding: a rare and unusual presentation of cervical endometriosis. Arch Gynecol Obstet. 2006; 273: 370-373
  • 14. Chang SH, Maddox WA. Adenocarcinoma arising within cervical endometriosis and invading the adjacent vagina. Am J Obstet Gynecol. 1971; 110: 1015-7.
  • 15. Park HM, Lee SS, Eom DW, Kang GH, Yi SW, Sohn WS. Endometrioid Adenocarcinoma Arising from Endometriosis of the Uterine Cervix: A Case Report. J Korean Med Sci. 2009 August; 24(4): 767–771.