中国医药
中國醫藥
중국의약
CHINA MEDICINE
2012年
11期
1436-1438
,共3页
子宫肿瘤%腺瘤样瘤%病理学,临床
子宮腫瘤%腺瘤樣瘤%病理學,臨床
자궁종류%선류양류%병이학,림상
Adenomatoid tumor%Uterus%Pathology,clinical
目的 探讨子宫腺瘤样瘤的临床特点、鉴别诊断及治疗方案.方法 对我院2008年6月至2010年12月,经病理检查确诊为子宫腺瘤样瘤的68例进行病理及临床分析.结果 子宫腺瘤样瘤合并平滑肌瘤35例,子宫腺瘤样瘤合并子宫腺肌病11例,子宫腺瘤样瘤合并平滑肌瘤及子宫腺肌病8例,单纯子宫腺瘤样瘤14例.肿瘤多位于近子宫角和宫体或宫底浆膜下,其次为子宫肌壁间,内膜下少见.肿瘤直径0.8 ～4.5 cm,临床表现无特征性.瘤细胞组成形态不一的腺样及腔隙样结构,腔隙内衬以扁平或立方上皮细胞,大多数表现为脉管样形态.结论 子宫腺瘤样瘤并非罕见,多与子宫平滑肌瘤及子宫腺肌症并存,临床和病理上均易误诊和漏诊,对标本进行全面彻底的检查,对切面黏滑,有细小孔隙样结构,无假包膜特征性部位多取材,结合免疫组织化学法,能提高其检出率.手术切除是治疗的首选方法,预后良好,未见复发转移.
目的 探討子宮腺瘤樣瘤的臨床特點、鑒彆診斷及治療方案.方法 對我院2008年6月至2010年12月,經病理檢查確診為子宮腺瘤樣瘤的68例進行病理及臨床分析.結果 子宮腺瘤樣瘤閤併平滑肌瘤35例,子宮腺瘤樣瘤閤併子宮腺肌病11例,子宮腺瘤樣瘤閤併平滑肌瘤及子宮腺肌病8例,單純子宮腺瘤樣瘤14例.腫瘤多位于近子宮角和宮體或宮底漿膜下,其次為子宮肌壁間,內膜下少見.腫瘤直徑0.8 ～4.5 cm,臨床錶現無特徵性.瘤細胞組成形態不一的腺樣及腔隙樣結構,腔隙內襯以扁平或立方上皮細胞,大多數錶現為脈管樣形態.結論 子宮腺瘤樣瘤併非罕見,多與子宮平滑肌瘤及子宮腺肌癥併存,臨床和病理上均易誤診和漏診,對標本進行全麵徹底的檢查,對切麵黏滑,有細小孔隙樣結構,無假包膜特徵性部位多取材,結閤免疫組織化學法,能提高其檢齣率.手術切除是治療的首選方法,預後良好,未見複髮轉移.
목적 탐토자궁선류양류적림상특점、감별진단급치료방안.방법 대아원2008년6월지2010년12월,경병리검사학진위자궁선류양류적68례진행병리급림상분석.결과 자궁선류양류합병평활기류35례,자궁선류양류합병자궁선기병11례,자궁선류양류합병평활기류급자궁선기병8례,단순자궁선류양류14례.종류다위우근자궁각화궁체혹궁저장막하,기차위자궁기벽간,내막하소견.종류직경0.8 ～4.5 cm,림상표현무특정성.류세포조성형태불일적선양급강극양결구,강극내츤이편평혹립방상피세포,대다수표현위맥관양형태.결론 자궁선류양류병비한견,다여자궁평활기류급자궁선기증병존,림상화병리상균역오진화루진,대표본진행전면철저적검사,대절면점활,유세소공극양결구,무가포막특정성부위다취재,결합면역조직화학법,능제고기검출솔.수술절제시치료적수선방법,예후량호,미견복발전이.
Objective To study the clinical-pathological characteristics,differential diagnosis and treatment options of uterine adenomatoid tumor.Methods From June 2008 to December 2010,68 cases diagnosed of uterine adenomatoid tumor were analyzed.Results Among them,35 cases had leiomyoma with uterine adenomatoid tumor,13 cases had uterine muscle adenosis,8 cases had leiomyoma and adenomyosis.Most tumors were located in the places which was close to the cornua uter,corpus uter or subserous layers.Tumor diameter distribution was from 0.8 cm to 4.5 cm and there were no clinical manifestations.Uterine adenomatoid tumor was composed of small glandlike spaces lined with flattened or cuboidal mesothelium-like cells.Conclusions Uterine adenomatoid tumor is not uncommon and often coexists with uterine leiomyoma and adenomyosis.Misdiagnosis and missed diagnosis in clinical and pathological often happen.Operation excision is the preferred method of treatment.
