肠管子宫内膜异位6例临床病理分析  

Clinicopathologic analysis of endometriosis of the intestinal tract in 6 cases

作　　者：黄晓赤[1] 罗克枢[2] 赵剑萍[1] 王西川[1] 马建新[2] 

机构地区：[1]成都市第六人民医院病理科,成都610051 [2]成都军区总医院病理科,成都610083

出　　处：《临床与实验病理学杂志》2003年第3期263-266,共4页Chinese Journal of Clinical and Experimental Pathology

摘　　要：目的　探讨肠管子宫内膜异位的临床病理特征。方法　对 6例肠管子宫内膜异位病变组织连续切片 ,并行HE和免疫组化染色。结果　肠管子宫内膜异位局部可出现继发性组织学改变和伴随相应的临床表现 ;ER和PR在异位内膜上皮呈强阳性表达 ,CK(AE1)在肠上皮呈强阳性表达。结论　肠管子宫内膜异位患者的临床表现与病变肠段的解剖部位和累及肠壁的组织学层次密切相关 ;异位内膜可引起局部肠黏膜腺体增生和息肉形成 ;ER、PR和CK(AE1)是鉴别肠源性上皮与子宫内膜异位上皮的重要标志。Purpose To investigate clinical and pathologic characteristics in endometriosis of the intestinal tract. Methods Six cases of endometriosis of the intestinal tract were observed with HE and immunohistochemical staining, and analyzed with their clinicopathologicac data. Results Endometriosis of intestinal tract may result in secondary histologic changes and clinical manifestations. ER/PR were strong expression in epithelium of endometriosis and CK(AE1) was strong expression in epithelium of intestinal tract. Conclusions The clinical manifestations in endometriosis of the intestinal tract are associated with anatomical and histological location of the intestinal tract. There are intestinal gland hyperplasia and polypous formation in endometriosis of the intestinal tract. ER/PR and CK(AE1) are important markers in distinguishing epithelium of endometriosis from intestinal tract.

关 键 词：肠管 子宫内膜 异位现象 临床病理分析 免疫组织化学 

分 类 号：R711.71[医药卫生—妇产科学]