78例子宫富于细胞型平滑肌瘤临床病理分析  

Clinicopathological Analysis of Characteristics in 78 Cellular Uterine Leiomyoma

作　　者：胡玉红[1] 黄向华[1] 王振海[1] 张琳[1] 

机构地区：[1]河北医科大学第二医院,河北石家庄050000

出　　处：《实用妇产科杂志》2009年第1期22-24,I0003,共4页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:分析子宫富于细胞型平滑肌瘤(CUL)的临床病理特点,探讨其生物学行为及临床结局。方法:回顾性分析了2000年1月至2007年1月在我院收治的78例CUL患者的病历资料,并对全部患者进行了随访。结果:CUL病理特点为瘤细胞丰富,细胞大小形态尚一致,核分裂相0～4个/10HPF;临床表现以月经改变为主;超声检查以低回声多见。行肌瘤剔除术患者复发率为22.8%。结论:CUL的临床表现与普通子宫平滑肌瘤相似,治疗应酌情选择全子宫切除或肌瘤剔除术。Objective：To analyze the clinicopathological characteristics of cellular uterine leiomyoma （CUL） , and explore the biological behavior clinical prognosis. Methods： The data of 78 CUL patients were collected, their clinicopathological features, B-ultrasound founding and modus of operation were analyzed retrospectively. All postoperative patients were followed up. Results： Menstrual changes were main clinical symptoms of CUL. Smooth muscle cells were plentiful, but karyokinesis was seldom, it is less than 5 per 10 highpower field. Most lump of uterus with CUL patients showed equal or low level echo areas under B-ultrasound examination. The recurrence rate of CUL was 22.8% in patients who accepted myomectomy. Conclusions： The clinical features of CUL were similar to ordinary uterine leiomyoma. CUL patients suffering from recurrence of myorna should accept hysterectomy.

关 键 词：子宫富于细胞型平滑肌瘤 临床病理 复发 

分 类 号：R737.33[医药卫生—肿瘤]