国际妇产科学杂志 ›› 2011, Vol. 38 ›› Issue (6): 554-557.

• 综述 • 上一篇    下一篇

子宫内膜间质肉瘤的研究进展


姚婷婷,林仲秋,张丙忠
  

  1. 510120 广州,中山大学附属第二医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2011-12-15 发布日期:2011-12-15
  • 通讯作者: 林仲秋

The Progress of Endometrial Stromal Sarcoma

YAO Ting-ting,LIN Zhong-qiu,ZHANG Bing-zhong   

  1. Department of Obstetrics and Gynecology,the Second Affiliated Hospital of SUN Yat-sen University,Guangzhou 510120,China
  • Received:1900-01-01 Revised:1900-01-01 Published:2011-12-15 Online:2011-12-15
  • Contact: LIN Zhong-qiu

摘要: 子宫内膜间质肉瘤是一种来源于间叶组织的子宫肉瘤,其肿瘤细胞形似正常增殖期子宫内膜间质细胞,分为低度恶性子宫内膜间质肉瘤、高度恶性子宫内膜间质肉瘤以及子宫外内膜间质肉瘤。子宫内膜间质肉瘤早期即可能发生浸润和转移,因此早期发现、早期诊断和早期治疗对于本病具有重要的意义。但由于子宫内膜间质肉瘤组织细胞具有多分化潜能,镜下表现形式复杂多样,临床症状往往缺乏特异性,误诊率和漏诊率都非常高。单凭临床表现和组织形态学往往较难正确诊断,因此需要对其进行全面的了解。

关键词: 肉瘤, 子宫内膜间质, 子宫内膜间质细胞瘤, 误诊, 受体, 雌激素, 受体, 孕酮aaaa

Abstract: Endometrial stromal sarcoma is origin from the mesenchymal tissue of uterine sarcoma. The cells of it resemble normal endometrial stromal cells in proliferative stage with strong invasiveness. It can be divided into three kinds including of low grade malignant endometrial stromal sarcoma,high grade malignant endometrial stromal sarcoma and extrauterine endometrial stromal sarcoma. Therefore,early diagnosis and treatment is very important. However, endometrial stromal sarcoma cells with multiple differentiation potential, endoscopic manifestations of complex and diverse, often lack the specificity of clinical symptoms. The rates of misdiagnosis and missed diagnosis are very high. It is necessary to understand the endometrial stromal sarcoma comprehensively.

Key words: Sarcoma, endometrial stromal, Endometrial stromal tumors, Diagnostic errors, Receptors, estrogen, progesterone