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目的 :探讨低度恶性子宫内膜间质肉瘤的临床病理学特点及鉴别诊断。方法 :收集11例低度恶性子宫内膜间质肉瘤 ,复习病历档案进行随访 ,同时观察其临床病理特点 ,并作免疫组化染色分析。结果 :所有肿瘤具有低度恶性子宫内膜间质肉瘤的临床及组织学特征 ,其中3例伴性索样成份 ,患者年龄为31～60岁 ,平均39岁。10例患者随访健在 ,其中3例带瘤存活。结论 :低度恶性子宫内膜间质肉瘤 ,高发年龄为40岁左右 ,它是一种低度恶性或潜在恶性的肿瘤 ,诊断上应与富细胞性平滑肌瘤 ,静脉内平滑肌瘤病 ,子宫类似卵巢性索肿瘤 ,腺肉瘤相鉴别
Objective: To investigate the clinicopathological features and differential diagnosis of low grade endometrial stromal sarcoma. Methods: Eleven cases of low grade endometrial stromal sarcoma were collected. The medical records were reviewed and followed up. The clinical and pathological features were also observed and analyzed by immunohistochemistry. RESULTS: All tumors had low grade malignant endometrial stromal sarcoma with clinical and histological features, of which 3 were complicated with cable-like components. The patients were 31 to 60 years old with an average of 39 years. Ten patients were alive, three of them survived. Conclusions: Low-grade endometrial stromal sarcoma, with a high incidence of about 40 years old, is a low-grade or potentially malignant tumor that should be diagnosed with rich-cell leiomyoma, intravenous leiomyomata, Similar uterine ovarian tumors, adenosarcoma phase identification