临床与实验病理学杂志Issue(5)：506-509,510,5.DOI:10.13315/j.cnki.cjcep.2015.05.006
息肉样子宫内膜异位症10例临床病理分析
Clinicopathological study of ten cases with polypoid endometriosis
宁燕 1朱勤 1周先荣 1孔凡斌2
作者信息
- 1. 复旦大学附属妇产科医院 病理科，上海200011
- 2. 复旦大学附属妇产科医院 超声科，上海200011
- 折叠
摘要
Abstract
Purpose Polypoid endometriosis is an uncommon and distinctive variant of endometriosis, and its detailed histopathological features have been investigated and analysed. Methods A retrospective analysis was performed in 10 cases with polypoid endometrio-sis by comparing clinical data, histopathologic and immunohistochemical changes. Results The patients were 27 to 54 years ( mean 39. 4 years) of age. The most common clinical presentations were a pelvic mass. The intraoperative findings suggested a neoplasm. Sites of involvement in order of frequency included ovary, uterine serosa and cervix. Polypoid, pink, gray or tan masses ranged up to 9 cm in maximal dimension. On microscopic examination, the polypoid masses were composed of an admixture of endometriotic glands and stroma. Most commonly glandular architectural patterns were simple hyperplasia. Tubal epithelial metaplasia was common. The stroma was fibrous, resembling to some extent the stroma of the endometrial polyp and atypical stromal cells can be seen. Nine cases were associated with usual endometriosis. Follow-up data in nine patients indicated that all of patients were alive without evidence of re-sidual disease. The main lesion in the differential diagnosis is a mullerian adenosarcoma. Conclusion Polypoid endometriosis is a rare manifestation of endometriosis, and probably is overgrowth of local ectopic endometrium based on endometriosis. Understanding of such lesions is avoided misdiagnosing for other benign or malignant tumors on clincal, intraoperative or pathologic assesment, and influ-ences the clinical treatment.关键词
子宫内膜异位症/息肉样子宫内膜异位症Key words
endometriosis/polypoid endometriosis分类
医药卫生引用本文复制引用
宁燕,朱勤,周先荣,孔凡斌..息肉样子宫内膜异位症10例临床病理分析[J].临床与实验病理学杂志,2015,(5):506-509,510,5.
