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子宫内膜非典型息肉样腺肌瘤(APA)是一种少见的宫腔内病变,发病率低(1.8%~3.75%)。临床表现为子宫异常出血、月经周期经期延长、月经量增多及绝经后阴道出血。超声及宫腔镜多诊断为“子宫内膜息肉”和“子宫黏膜下肌瘤”。病理特征为子宫内膜腺体不典型增生与平滑肌间质交织组成,是良性病变,有低度恶性潜能,易复发。所有APA均为术后组织病理学确诊。其治疗应依据患者年龄、症状、腺上皮不典型增生程度及是否需要生育而进行并密切随访。
Endometrial atypical polypoid adenomyosis (APA) is a rare intrauterine lesion with a low incidence (1.8% -3.75%). Clinical manifestations of abnormal uterine bleeding, menstrual cycle menstrual prolongation, increased menstrual flow and vaginal bleeding after menopause. Ultrasound and hysteroscopy and more diagnosis as “endometrial polyps” and “uterine fibroids ”. Pathological features of endometrial gland dysplasia and smooth muscle interstitial interwoven composition, is a benign lesion, with low malignant potential, easy to relapse. All APAs were histopathologically confirmed. The treatment should be based on the patient’s age, symptoms, glandular dysplasia and the need for childbearing and close follow-up.