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本文对子宫内膜间质肿瘤的临床、病理学进行了研究。1 例间质肉瘤术后2年死亡,6例淋巴管内间质肌病(简称ESM)和1例间质结节术后生存1～14年。间质结节为良性,ESM为低度恶性。本文认为低度恶性间质肉瘤的命名尤于ESM。低、高度恶性间质肉瘤诊断标准的主要区别是核分裂象多少,细胞异型性、坏死程度、侵犯深度及肿物大小也是重要的辅助鉴别标准。二者的处理应一致,全宫加双附件切除,辅以化疗,对预后有利。
In this paper, the clinical and pathological features of endometrial stromal tumors were studied. One case of interstitial sarcoma died 2 years after surgery, 6 cases of lymphatic endodermomyopathy (ESM) and 1 case of stromal nodules survived for 1 to 14 years. Interstitial nodules are benign and ESM is low grade malignancy. This article considers the low-grade malignant stromal sarcoma naming in ESM. The main difference between the diagnostic criteria of low and high grade stromal sarcoma is how much mitosis, cell atypia, necrosis, depth of invasion and size of the tumor are also important auxiliary criteria. The two should be the same treatment, the whole house plus double attachment resection, supplemented by chemotherapy, the prognosis is good.