在位子宫内膜及异位子宫内膜同时恶变1例并文献复习

• 作 者: 吴楠霖 张霓 宋亮 潘小玲
• 机 构: 四川大学华西第二医院妇科,
• 出 处: 现代妇产科进展
• 发表日期: 2011年01期
• 关键词: 异位子宫内膜 endometriosis 透明细胞癌 卵巢 子宫内膜样癌 异位 盆腔痛 育龄妇女 痛经 癌瘤

子宫内膜异位症(endometriosis,EM)是育龄妇女的常见病,发病率约15%,临床上以痛经、盆腔痛和不孕为主要表现。EM虽属良性病变,但其表现与恶性肿瘤的生物学行为类似,并有一定比例的异位子宫内膜发生组织学改变,成为癌瘤。EM恶变主要发生在卵巢,病理类型多为子宫内膜样癌或透明细胞癌,卵巢外异位内膜恶变及恶变的其他病理组织学类型较少。现报道1例在位子宫内膜及卵巢外异位内膜同时恶变,并结合文献复习,探讨其临床病理特点、诊断以及治疗。

Endometriosis (EM) is a common disease in women of childbearing age, the incidence rate of about 15%, clinical dysmenorrhea, pelvic pain and infertility as the main performance. EM is a benign disease, but its performance is similar to the biological behavior of malignant tumors, and a certain proportion of ectopic endometrium histological changes to become cancer. EM malignant changes occur mainly in the ovary, the pathological type is mostly endometrioid carcinoma or clear cell carcinoma, ovarian ectopic endometriosis and malignant lesions of other histopathological less. Is reported in 1 case of endometrial and ovarian ectopic endometrium at the same time malignant transformation, combined with the literature review to explore its clinical and pathological features, diagnosis and treatment.