Hemangiom grlića materice udružen sa skvamoznom intraepitelnom lezijom visokog stepena

  • Matilda Djolai Clinical Center of Vojvodina, Novi Sad, Serbia; Department of Histology and Embryology, Medical Faculty, Novi Sad, University of Novi Sad, Novi Sad, Serbia
  • Tamara Bošković Clinical Center of Vojvodina, Novi Sad, Serbia; Department of Histology and Embryology, Medical Faculty, Novi Sad, University of Novi Sad, Novi Sad, Serbia
  • Srdjan Djurdjevic Clinical Center of Vojvodina, Novi Sad, Serbia; Department of Gynecology and Obstetrics, Medical Faculty, Novi Sad, University of Novi Sad, Novi Sad, Serbia
  • Sandra Trivunić Dajko Clinical Center of Vojvodina, Novi Sad, Serbia; Department of Pathology, Medical Faculty, Novi Sad, University of Novi Sad, Novi Sad, Serbia
  • Bojana Andrejić Višnjić Department of Histology and Embryology, Medical Faculty, Novi Sad, University of Novi Sad, Novi Sad, Serbia
  • Ranko Rajović Department of Science, Mensa Serbia, Center for Education NTC, Novi Sad, Serbia
DOI: https://doi.org/10.2298/4910
Ključne reči: cervix uteri||, ||grlić materice, hemangioma||, ||hemangiom, uterine cervical dysplasia||, displazija, comorbidity||, ||komorbiditet,

Sažetak


Uvod. Benigne, posebno polipoidne, lezije grlića materice  česte su u svakodnevnom radu. Ređi tumori ove regije su vaskularni tumori, i to kapilarni i/ili kavernozni hemangiomi. Hemangiomi grlića materice posebno su retki, obično su asimptomatski, a tek u trećini slučajeva klinički se mogu manifestovati kao vaginalna krvarenja, polipi i dr. Prikaz bolesnika. Prikazana je bolesnica, stara 54 godine, kojoj je zbog skramozne intraepitelne displazije visokog stepena (H-SIL) urađena konizacija. Mikroskopskom analizom isečaka potvrđeno je postojanje displatičnih promena u endocervikalnom epitelu i malim delom u epitelu žlezda tipa H-SIL. U 2 od 15 isečaka unutar zida grlića materice, uočeni su dilatirani, umnoženi i nepravilni krvni sudovi obloženi endotelom, nejasno ograničeni od okolnog veziva lamine proprije i glatke muskulature zida grlića materice. Prema patohistološkim karakteristikama promena je odgovarala hemangiomu. Obe promene su uklonjene u celosti. Zaključak. Prema nama dostupnoj literaturi, naš prikaz slučaja je prvi opisani slučaj udruženosti hemangioma i displastičnih promena endocervikalnog epitela. Hemangiom je slučajno ustanovljen na patohistološkim isečcima materijala dobijenog konizacijom kod žene u postomenopauzi.

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Objavljeno
2015/07/08
Broj časopisa
Vol. 72 Br. 6 (2015)
Rubrika
Prikaz bolesnika