摘要
目的探讨子宫腺瘤样瘤的临床病理特点和鉴别诊断要点。方法使用免疫组化方法观察17例子宫腺瘤样瘤,并复习临床有关资料。结果17例子宫腺瘤样瘤占同期子宫标本的1.16%,肿瘤位于子宫肌间或浆膜下,直径0.8～6.0cm,临床表现类似平滑肌瘤。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(AE1/AE3)阳性,CD34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 characteristics and the differential diagnosis of uterine adenomatoid tumor. Methods The pathologic changes and immunohistochemical findings in 17 cases of uterine adenomatoid tumor were observed and the clinical data was reviewed. Results Seventeen cases of uterine adenomatoid tumor were diagnosed accounting for 1.16% of all hysterectomy in the same period. The tumors located in the uterine muscle walls or in the under serosa.The diameter of masses ranged from 0.8cm to 6.0cm. The clinical manifestations of uterine adenomatoid tumor were similar to leiomyoma. Microscopically, uterine adenomatoid tumor consisted of various gland-like or vessel-like pattens. The luminal spaces lined with flat or cuboidal cells that were positive for CK (AE1/ AE3) and negative for CD34. Conclusion Uterus adenomatoid tumor is not very rare, and is often companied by leiomyoma. It can avoid misdiagnosis that to acquaint with the histopathologic and immunhistochemical characteristics of uterine adenomatoid tumor.
出处
《罕少疾病杂志》
2005年第3期33-35,F002,共4页
Journal of Rare and Uncommon Diseases
关键词
子宫肿瘤
腺瘤样瘤
免疫组化
uterus neoplasma
adenomatoid tumor
immunohistochemistry
