Cervical endometriosis: clinical character and management experience in a 27-year span

Objective The purpose of this study was to analyze the clinicopathologic characters and explore the possible cause of cervical endometriosis. Study Design By retrospective review, among 13,566 cases of endometriosis that had been treated in our hospital, 33 cases of pathologically proven cervical en...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2011-11, Vol.205 (5), p.452.e1-452.e5
Main Authors: Wang, Shu, MD, PhD, Li, Xiao Chuan, MD, PhD, Lang, Jing He, MD
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
cervical endometriosis
Cervix Uteri - pathology
diagnosis
Endometriosis - diagnosis
Endometriosis - pathology
Endometriosis - surgery
Female
Female genital diseases
Gynecology. Andrology. Obstetrics
Humans
Medical sciences
Middle Aged
Non tumoral diseases
Obstetrics and Gynecology
Polyps - pathology
treatment
Treatment Outcome
Uterine Cervical Diseases - diagnosis
Uterine Cervical Diseases - pathology
Uterine Cervical Diseases - surgery
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Summary:Objective The purpose of this study was to analyze the clinicopathologic characters and explore the possible cause of cervical endometriosis. Study Design By retrospective review, among 13,566 cases of endometriosis that had been treated in our hospital, 33 cases of pathologically proven cervical endometriosis were extracted. Results Of 33 cases, 17 women had abnormal vaginal bleeding or visible cervical lesions; the other 16 women had no obvious clinical manifestations but were diagnosed retrospectively on histopathologic reports. Vaginal delivery or curettage procedures had occurred in 84.8% of patients. Only 2 patients had undergone cervical surgery of cryotherapy or electric excision. Seven cases were misdiagnosed before final surgery with the primary suspicion of cervical myoma, inflammatory cyst, cervical polyp, uterine submucous myoma, melanoma or melanin mole, and cervical cancer. Surgical treatment was performed for all symptomatic patients. No recurrence was seen. Conclusion Cervical endometriosis should be distinguished from other benign or malignant cervical lesions. Surgical excision is suggested for symptomatic patients.
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2011.06.070