악성 선종과 유사한 자궁경부의 거대 다방성 낭성 종괴
Large, Multilocular Cystic Mass in the Uterine Cervix Mimicking Adenoma Malignum
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초록
자궁경부의 다방성 낭성질환은 양성질환부터 악성질환까지 다양하게 발생한다. 자궁경부에 드물게 생기는 악성 선종은 조직학적, 영상의학적으로 양성질환들과 구별하기가 힘들어 매우 주의해야 한다. 경부에 발생하는 양성 낭성 병변들은 나보시안 낭종, 자궁경부염, 터널 클러스터 등을 포함하며 육안으로 감별진단이 어렵다. 특히 악성 선종과의 감별진단은 매우 중요하고 어렵기 때문에 이번 두 증례의 거대 나보시안 낭종을 보고하며 그 접근법과 치료법에 대해 알아보고자 한다.
Abstract
Multilocular cystic lesions in the uterine cervix can vary widely from benign to malignant. Pseudoneoplastic glandular lesions are benign lesions that are often histologically and radiographically confused with adenoma malignum, which is a rare variant of mucinous adenocarcinoma of the uterine cervix. The benign lesions include uterine cervicitis, tunnel cluster, deep endocervical glands, deep nabothian cysts, endocervical hyperplasia, infectious and reactive atypias. It is crucial but difficult to differentiate between an adenoma malignum and the benign cystic lesions. We report two cases of large nabothian cysts mimicking adenoma malignum. Radiologic findings, signs, and symptoms of these cases are described. (J Korean Soc Menopause 2011;17:114-117)
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