子宫体中肾样腺癌1例病例分析及文献复习  

A case analysis and literature review of renal adenocarcinoma in the uterus

作　　者：陈美文 季镓锜 刘娟[2] 刘桂菊[3] 冯玲 Chen Meiwen;Ji Gaqi;Liu Juan;Liu Guju;Feng Ling(Hangzhou Normal University,Hangzhou 310015,China;Department of Pathology,Hangzhou Normal University Affiliated Hospital,Hangzhou 310015,China;Department of Obstetrics and Gynecology,Hangzhou Normal University Affliated Hospital,Hangzhou 310015,China)

机构地区：[1]杭州师范大学,浙江杭州311121 [2]杭州师范大学附属医院病理科,浙江杭州310015 [3]杭州师范大学附属医院妇产科,浙江杭州310015

出　　处：《实用妇科内分泌电子杂志》2024年第11期89-93,共5页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：中肾样腺癌(MLA)是一种新型的子宫内膜和卵巢肿瘤,多常见于子宫体和卵巢,并具有独特的形态学和免疫表型特征。子宫体MLA极为罕见,约占所有子宫内膜癌的1%,且可出现多种生长模式,易被误诊为低级别子宫内膜样腺癌、透明细胞癌和浆液性腺癌,故诊断该病极具挑战。本文报道了1例55岁子宫体MLA的病例,通过分析该病例的特点,对子宫体MLA的病理、临床症状、诊断、治疗和预后进行文献复习,以期提高临床医师和病理医师对该病的认识,从而避免误诊和误治。Middle kidney like adenocarcinoma(MLA)is a novel endometrial and ovarian tumor,commonly found in the uterus and ovaries,and has unique morphological and immunophenotypic characteristics.Uterine MLA is extremely rare,accounting for about 1%of all endometrial cancers,and can exhibit multiple growth patterns.It is easily misdiagnosed as low-grade endometrial adenocarcinoma,clear cell carcinoma,and serous adenocarcinoma,making the diagnosis of this disease extremely challenging.This article reports a case of 55 year old uterine MLA.By analyzing the characteristics of the case,a literature review was conducted on the pathology,clinical symptoms,diagnosis,treatment,and prognosis of uterine MLA,in order to improve the understanding of clinical and pathological physicians about the disease and avoid misdiagnosis and mistreatment.

关 键 词：中肾样腺癌 子宫内膜肿瘤 病理特点 

分 类 号：R737.33[医药卫生—肿瘤]