cysts?of?the?uterus

Uterine cyst is a rare disease, which is easily ignored in clinic. It can be divided into congenital and acquired uterine cysts. The former originated from the middle renal duct and accessory middle renal duct, and mostly occurred in the posterior wall of uterus or the bottom of uterus. The latter are mostly secondary to benign diseases or developed from serous stromal cells, including cystic degeneration of uterine fibroids, uterine cystic adenomas, cervical retention cysts and uterine serous cysts.

Diagnostic basis

(1) Clinical manifestations

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1. The onset age ranged from 25 to 52 years old, with an average onset age of 36 years old.

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2. Symptoms

Congenital uterine cyst generally has no obvious symptoms, and sometimes a mass can be felt in the lower abdomen.

3. Signs are uterine fundus or posterior wall bulging, with local cystic feeling. It can be divided into three types: subserous cyst, intramuscular cyst and submucosal cyst. For example, submucosal cysts with pedicles can sometimes protrude outside the cervix.

(2) Pathological examination showed that the cystic wall of mesonephric duct was mainly composed of columnar or stratified squamous epithelium. The cyst wall originating from the accessory mesonephric duct is mainly composed of ciliated columnar epithelium.

differential diagnosis

(1) ovarian cyst

Ovarian cysts generally have no clinical symptoms and can only be found by regular gynecological examinations. woman

Pathological examination can touch the cystic mass on one or both sides of the uterus, which can be separated from the uterus and does not move with the activity of the uterus. Ultrasonic examination of the relationship between cyst and uterus is helpful for diagnosis.

(2) Cervical polyp

There is something protruding at the cervix, which should be differentiated from submucosal cyst with pedicle in uterus. Cervical polyps are mostly single, but there are also multiple, pedicled, smooth and red. Because polyps are rich in blood vessels, they are easy to rupture and bleed, which can cause irregular vaginal bleeding. The diagnosis of polyp can be confirmed by pathological examination.

Treatment of uterine cyst

Cervical gland cyst is not difficult to treat. Generally, it is necessary to check which bacterial infection causes cervicitis first, and then treat the infection accordingly. For cysts that are not suitable for regression, they can be punctured first, and then cauterized by laser and freezing. Treatment generally does not affect fertility, but if a scar is formed at the cervix, it will affect natural delivery.