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目的探讨子宫腺肉瘤早期的临床表现、影像学特征、组织病理学以及治疗和预后。方法对2006年—2010年病理诊断为子宫腺肉瘤的4例青年女性患者进行回顾性分析。结果子宫腺肉瘤占同期子宫肉瘤的6.8%(4/58),患者平均发病年龄为40岁,均未绝经。患者均有阴道不规则流血,B型超声示最大1例肿物直径为11cm,其余结节直径平均约1.5cm。1例患者的CA125水平高于正常。术后随访期间所有患者身体状态良好,无复发。结论子宫腺肉瘤恶性程度较低,如能及时治疗,预后较好。
Objective To investigate the early clinical manifestations, imaging features, histopathology, treatment and prognosis of uterine adenosarcoma. Methods Four cases of young women with pathological diagnosis of uterine adenosarcoma from 2006 to 2010 were retrospectively analyzed. Results The uterine adenosarcoma accounted for 6.8% (4/58) of uterine sarcoma in the same period. The mean age of onset was 40 years, all of which were not menopausal. Patients had irregular vaginal bleeding, B-mode ultrasound showed a maximum tumor diameter of 11cm, the average diameter of the remaining nodules about 1.5cm. One patient had higher CA125 than normal. All patients were in good physical condition without recurrence during follow-up. Conclusions The low degree of malignancy of uterine adenosarcoma, if timely treatment, the prognosis is good.