Radion Garaz, Arnulf Stenzl, Igor Tsaur, Niklas Harland, Bastian Amend
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引用次数: 0
摘要
斯基恩氏腺被认为是女性的前列腺。它们可以受到各种良性、炎症性或恶性疾病的影响。这篇综述批判性地分析了与斯基恩腺相关的非恶性病变的诊断和管理的当前文献。我们对Scopus、Web of Science和PubMed/MEDLINE进行了全面的检索,重点关注Skene腺的非恶性病变,排除了涉及新生儿和动物的研究。确定了60篇相关文章,主要包括小案例系列。良性病变包括囊肿、增生、管状鳞状阴道息肉、平滑肌瘤、腺纤维瘤和斯基恩腺结石。炎症条件,如脓肿和女性前列腺炎也进行了分析。体格检查、超声、膀胱镜检查、MRI和微超声是评估Skene腺体病理的基本诊断方式。及时的保守或手术干预可以有效地控制良性疾病,治疗方案通常由症状的严重程度指导。这篇综述强调了进一步研究Skene腺生物学的必要性,特别是关于潜在的诊断和治疗意义,并强调了在泌尿科和妇科实践中对Skene腺进行常规评估的重要性。
Benign and Inflammatory Lesions of the Human Female Prostate: A Narrative Review of Diagnostic and Therapeutic Approaches.
Skene's glands are recognised as the female equivalent of the male prostate gland. They can be affected by a variety of benign, inflammatory, or malignant conditions.This review critically analyses the current literature on the diagnosis and management of non-malignant lesions associated with Skene's gland.A comprehensive search of Scopus, Web of Science, and PubMed/MEDLINE was conducted, focusing on non-malignant lesions of Skene's gland while excluding studies involving newborns and animals.Sixty relevant articles were identified, primarily comprising small case series. The benign lesions reviewed include cysts, hyperplasia, tubular-squamous vaginal polyps, leiomyomas, adenofibromas, and Skene's gland lithiasis. Inflammatory conditions such as abscesses and female prostatitis were also analysed.Physical examination, ultrasound, cystoscopy, MRI, and micro-ultrasound are essential diagnostic modalities for evaluating Skene's gland pathologies. Timely conservative or surgical interventions can effectively manage benign conditions, with treatment options typically guided by the severity of symptoms. This review underscores the necessity for further research into the biology of Skene's gland, particularly regarding potential diagnostic and therapeutic implications, and emphasizes the importance of a routine evaluation of Skene's gland in urological and gynaecological practice.
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