The original layer of the endometrium of the cervical canal constitutes the cyst of the cervix, and its tissue structure is the surface covered epithelial cells and subcutaneous tissue crypt tissue. Generally, when the surface epithelial cells form ulcers, the crypt tissue underneath will become small granular tissue with certain characteristics, that is, cysts visible in the symptoms; if the surface epithelial cells form phospholipid metaplasia of varying shapes, these cysts are enlarged cervical crypts. Sometimes these cysts are composed of more cysts surrounded by mucus, which are covered with squamous epithelium. If the cyst proliferates abnormally, it may turn into dermoid carcinoma or adenocarcinoma, posing a threat to women's life and health. diagnosis The histological structures of cervical cysts are as follows: angiocystadenoma-like type, this type of shape is mainly glandular hyperplasia, the hyperplasia appears as pile-like and focal, with very little interstitial space; hematocystic cyst type, with a large volume, and the cross-section shows that the cysts are filled with mucus, with very little interstitial space; supplementary granular type, the surface epithelial cells are columnar, and the most important structure is the granular tissue; weight-bearing hemangioma-like type, with a little vaginal bleeding after menstruation, and microscopic examination shows that the blood vessels are rich; term phospholipid metaplasia type, the surface columnar epithelial cells and the interstitial glandular ducts are squamous; tubular fibrous type, fibrous connective tissue is the main cystic interstitial space. Decidual reaction of cartilage cyst, at this time the cyst stromal cells become decidual cells, and the microglandular hyperplasia grows and develops too rapidly; reorganization of superior cervical cyst, the cyst is located in the cervical muscle wall and the superior cervical canal. Sonographic diagnosis of cervical cyst: (1) Single or multiple low-echo, low-medium or slightly high-echo in the cervical canal; (2) Clear boundaries, standard shape, uniform or uneven internal echo; (3) There is a pedicle connected to the cervical canal or muscular mucosa; (4) Small cysts may appear as a "pendant" sign in the cervix; (5) There may be blood accumulation around the mass; (6) Large masses may penetrate into the female vagina or inside and outside the vagina through the external cervical os; (7) Color Doppler blood imaging can show relatively rich and colorful long strips of blood signals from the deep cyst of the pedicle; (8) The single pulse Doppler band shape is the aorta, RI:>0.6. Inspection Excessive leucorrhea, vaginal bleeding, abnormal yellow leucorrhea, vaginal bleeding after menopause, and vaginal lumps and prolapses in singles. B-ultrasound examination was used, and the cervical canal space-occupying mass was found, and pathological examination was a fibroepithelial cell type cervical cyst. |
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