论文部分内容阅读
目的:讨论如何对子宫平滑肌肿瘤进行更加正确的病理诊断。方法:本文对151例子宫平滑肌肿瘤进行临床病理分析。结果:天柱县子宫平滑肌肿瘤发病高峰年龄为41~50岁82例(54.3%);其中平滑肌瘤79例(52.3%);恶性潜能不能确定的平滑肌瘤2例(1.3%);多发性子宫平滑肌瘤伴腺肌症1例(0.7%)。仅有2.6%介于良恶性之间,属于恶性潜能不能确定的子宫平滑肌瘤。症状主要取决于肿瘤大小,发生部位,生长速度。结论:目前争论最大的就是恶性潜能不能确定的平滑肌肿瘤,主要根据肿瘤性坏死或凝固性肿瘤细胞坏死、细胞核非典型性或异型性以及核分裂像计数进行诊断。
Objective: To discuss how to make a more accurate pathological diagnosis of uterine smooth muscle tumors. Methods: In this paper, 151 cases of uterine smooth muscle tumors were clinically and pathologically analyzed. Results: The peak incidence of uterine smooth muscle tumors in Tianzhu County was 82 (41.3%) in 82 years (54.3%), including 79 cases of leiomyoma (52.3%), 2 cases (1.3%) of malignant potential unspecified leiomyoma, 1 cases of uterine leiomyomas with adenomyosis (0.7%). Only 2.6% between benign and malignant, belonging to malignant potential can not be determined uterine leiomyoma. Symptoms depend mainly on tumor size, site of occurrence, and growth rate. CONCLUSIONS: The most controversial issue is the uncertain malignant potential of smooth muscle tumors, which are mainly diagnosed on the basis of neoplastic or necrotic tumor cell necrosis, nuclear atypia or atypia, and mitotic count.