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子宫平滑肌瘤十分常见,但其病理图像变化甚多,有时也可误诊,现将我室19例原误诊为子宫平滑肌肉瘤的病例作一分析。材料来源我室从1960年至1984年共诊断子宫平滑肌肉瘤40例。经复查,其中19例应诊断为平滑肌瘤。病理与临床资料 19例全部行子宫切除术。大多数肌瘤在肌层中,肌瘤数1～8个,直径3～15 cm,平均7.1 cm。与周围组织界限尚清楚,大部分有假包膜。切面呈编织状或旋涡状,部分切面质地稍细腻。少数有出血坏死。镜下观察:19例中有7例呈典型平滑肌瘤图像,仅偶见个别病理性核分裂或细胞排列稍紊乱。有4例呈现怪细胞型图像。瘤细胞梭形、圆形或不规则多形性。细胞核染
Uterine leiomyoma is very common, but the pathological changes in the image of many, and sometimes misdiagnosed, I now 19 cases were misdiagnosed as cases of uterine leiomyosarcoma for an analysis. Materials from my room from 1960 to 1984, a total of 40 cases of uterine leiomyosarcoma diagnosis. After the review, of which 19 cases should be diagnosed as leiomyoma. Pathology and clinical data of 19 cases underwent hysterectomy. Most fibroids in the muscle layer, myoma number 1 to 8, diameter 3 ~ 15 cm, an average of 7.1 cm. Boundary with the surrounding tissue is still clear, most of the fake capsule. The section was weaved or swirled, and the texture of some sections was slightly delicate. A small number of hemorrhagic necrosis. Microscopic observation: 7 of 19 cases showed typical leiomyoma images, occasionally only a few pathological mitosis or cell disorder slightly arranged. There are 4 cases of strange cell type images. Tumor cells spindle, round or irregular pleomorphism. Nuclear staining