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目的 :探讨原发性卵巢平滑肌肉瘤的临床特点及诊断、治疗方法。方法 :对 2例原发性卵巢平滑肌肉瘤进行临床报告及分析。结果 :原发性卵巢平滑肌肉瘤可发生在任何年龄 ,临床表现不典型。诊断主要依靠病理 ,核分裂数为主要依据 ,同时结合免疫组化 Desmin(- ) ,Vimentin(+ )诊断。结论 :原发性卵巢平滑肌肉瘤恶性度高 ,预后差 ,治疗需以手术为主 ,辅以合适的放疗和化疗综合性治疗
Objective: To investigate the clinical features, diagnosis and treatment of primary ovarian leiomyosarcoma. Methods: Two cases of primary ovarian leiomyosarcoma were reported and analyzed. Results: Primary ovarian leiomyosarcoma can occur at any age and clinical manifestations are not typical. Diagnosis mainly depends on the pathology and mitosis as the main basis, combined with immunohistochemical Desmin (-), Vimentin (+) diagnosis. Conclusion: Primary ovarian leiomyosarcoma has high malignant degree and poor prognosis. The treatment should be based on surgery, combined with appropriate radiotherapy and chemotherapy combined therapy