子宫腺瘤样瘤17例临床病理及B超检查特点  

Clinicopathologic and Bultrasonic Ananlysis on 17 Cases of Uterine Adenomatoid Tumor

作　　者：梁晓红[1] 胡桂琴[1] 李萍[1] 徐付印[1] 宁鲁豫[1] 李新功[2] 

机构地区：[1]山东胜利石油管理局中心医院B超室,东营257034 [2]山东胜利石油管理局中心医院病理科

出　　处：《数理医药学杂志》2005年第6期565-566,共2页Journal of Mathematical Medicine

摘　　要：目的:探讨子宫腺瘤样瘤的临床病理特点和B超检查特点。方法:使用免疫组化方法观察17例子宫腺瘤样瘤,并复习B超检查资料。结果:17例子宫腺瘤样瘤占同期子宫标本的1.16%,肿瘤位于子宫肌间,浆膜下,直径0.8cm^6cm,B超表现类似平滑肌瘤或肌腺病。肿瘤以形成不规则腺样和裂隙样结构,内衬扁平或立方上皮为组织学特点,伴有平滑肌组织增生。衬覆上皮CK(AE 1/AE 3)阳性,CD 34阴性。结论:子宫腺瘤样瘤并非少见,常与平滑肌瘤并发,了解其超声学和组织学特点,使用免疫组化进行鉴别,可避免误诊。Objective： To study the clinicopathological and ultrasonic characteristics and the differential diagnosis of uterine adenomatoid tumor. Methods： The pathologic changes and immunohistochemical findings in 17 cases of uterine adenomatoid tumoe were observed and ultrasonic data was reviewed. Results： 17 cases of uterine adenomatoid tumoe were diagnosed accounting for 1. 16% of all hysterectomy for same period. The tumors located in the uterine muscle walls or in the under serosa. The masses ranged from 0.8cm to 7cm in size. The ultrasonic characteristics were similar to the leiomyoma and adenomyosis. Microscopically, the tumor consisted of various gland-like or vessel-like pattens. The luminal spaces lined with fiat or cuboidal cells that were positive for CK （AE1/AE3） and negative for CD34. Conclusion： Adenomatoid tumor were not very rare in the uterus and normal were complicated by the leiomyoma . It can avoid delay diagnosis that to understand ultrasonic and histopathologic characteristics of uterine adenomatoid tumor.

关 键 词：子宫肿瘤 腺瘤样瘤 超声学 诊断 鉴别 

分 类 号：R737.33[医药卫生—肿瘤]