现代肿瘤医学
現代腫瘤醫學
현대종류의학
JOURNAL OF MODERN ONCOLOGY
2015年
11期
1568-1570
,共3页
子宫内膜间质肉瘤%临床病理特征%误诊
子宮內膜間質肉瘤%臨床病理特徵%誤診
자궁내막간질육류%림상병리특정%오진
endometrial stromal sarcoma%clinicopathologic features%misdiagnosis
目的:探讨低度恶性子宫内膜间质肉瘤( LGESS)的临床病理特征,提高LGESS早期诊断率,以确定手术范围,避免二次手术。方法:对2010年4月至2011年4月我院收治的2例LGESS病例临床及病理资料进行回顾性分析,结合相关文献报道。结果:低度恶性子宫内膜间质肉瘤临床表现为阴道不规则出血,月经过多或绝经后阴道流血、下腹痛,偶尔触及包块。HE染色见肿瘤细胞类似增生期子宫内膜间质细胞,螺旋小血管多见,免疫组化染色2例患者肿瘤细胞CD10、Vimentin、ER、PR均(+)。结论:低度恶性子宫内膜间质肉瘤临床少见,易误诊,确诊主要依靠组织病理学和免疫组织化学。本病预后较好,术前诊断性刮宫是必要的,术中疑有恶性应送快速冰冻病理检查,采用全子宫及双附件切除,辅以化疗者疗效更好。
目的:探討低度噁性子宮內膜間質肉瘤( LGESS)的臨床病理特徵,提高LGESS早期診斷率,以確定手術範圍,避免二次手術。方法:對2010年4月至2011年4月我院收治的2例LGESS病例臨床及病理資料進行迴顧性分析,結閤相關文獻報道。結果:低度噁性子宮內膜間質肉瘤臨床錶現為陰道不規則齣血,月經過多或絕經後陰道流血、下腹痛,偶爾觸及包塊。HE染色見腫瘤細胞類似增生期子宮內膜間質細胞,螺鏇小血管多見,免疫組化染色2例患者腫瘤細胞CD10、Vimentin、ER、PR均(+)。結論:低度噁性子宮內膜間質肉瘤臨床少見,易誤診,確診主要依靠組織病理學和免疫組織化學。本病預後較好,術前診斷性颳宮是必要的,術中疑有噁性應送快速冰凍病理檢查,採用全子宮及雙附件切除,輔以化療者療效更好。
목적:탐토저도악성자궁내막간질육류( LGESS)적림상병리특정,제고LGESS조기진단솔,이학정수술범위,피면이차수술。방법:대2010년4월지2011년4월아원수치적2례LGESS병례림상급병리자료진행회고성분석,결합상관문헌보도。결과:저도악성자궁내막간질육류림상표현위음도불규칙출혈,월경과다혹절경후음도류혈、하복통,우이촉급포괴。HE염색견종류세포유사증생기자궁내막간질세포,라선소혈관다견,면역조화염색2례환자종류세포CD10、Vimentin、ER、PR균(+)。결론:저도악성자궁내막간질육류림상소견,역오진,학진주요의고조직병이학화면역조직화학。본병예후교호,술전진단성괄궁시필요적,술중의유악성응송쾌속빙동병리검사,채용전자궁급쌍부건절제,보이화료자료효경호。
Objective:To investigate the clinical and pathological features of low-grade endometrial stromal sar-coma( LGESS),to improve the rate of the diagnosis of LGESS,determine the operable range,avoid the second-opera-tion. Methods:Two cases of LGESS were analyzed by means of reviewing the history records from April,2010 to April 2011 in our hospital and connecting the correlative report. Results:The main clinical symptoms of LGESS were irregu-lar vaginal bleeding,hypomenorrhea or postmenopausal,hypogastric pain,and occasionally touching a mass. The tumor cell resembled the endometrial stromal cell of proliferation phase on HE staining. There were a lot of blood vessels just like the spiral in the tumors. Two cases were positive for CD10,ER and PR by immunohistochemical findings. Conclu/sion:LGESS is very rare and easy to misdiagnosis,the diagnosis relies mainly on histopathological and immunohisto-chemical findings. The prognosis of LGESS is better. It is necessary of diagnostic curettage before operating. In operat-ing if we doubt sarcoma,we must rapid do histopathological examination. The curative effect of annexectomy and chemical therapy is better.