实用医学杂志2016，Vol.32Issue(16)：2692-2694,3.DOI:10.3969/j.issn.1006-5725.2016.16.028
子宫肉瘤34例临床特征分析
Clinical analysis on 34 cases with uterine sarcoma
陈伟芳 1张江宇 1王意1
作者信息
- 1. 510010 广州市，广东省妇幼保健院妇科，病理科
- 折叠
摘要
Abstract
Objective To analyze the clinical features of the uterine sarcoma with different histological types and improve the capability of diagnosis and therapy. Methods Thirty-four cases with uterine sarcoma treatment were analyzed respectively , among which there were 19 cases with malignant endometrial interstitial sarcomas (55.8%), 6 cases with leiomyosarcoma (18%), 9 with malignant mixed tumor (26%). Results (1) The average age of patients were about 46 , patients with endometrial interstitial sarcomas aged 28 ~ 60 were more common in relatively younger , and patients with malignant mixed tumor aged about 56 were more common in postmenopausal women. Incidence rate of patients with endometrial interstitial sarcomas were more common (55.8%). (2) The patients usually manifested with abnormal vaginal bleeding (76%). Diagnosis curettage were the most commonly used before operation, which the positive rate was 65.3% and postoperative pathological di-agnosis was 35%. (3) 26 patients underwent one stage surgical treatment.7 patients underwent two stage surgical treatment. Surgical methods were the removal of the uterine double accessories and pelvic lymph node dissection. The five year survival rate was 77.7% (14/18). Conclusions The age range of uterine sarcoma is more exten-sive. Preoperative diagnosis can be diagnosed by curettage, and may also be missed. It should be paid attention to the operation of the examination examination , timely delivery of frozen examination to improve the diagnostic rate. and the appropriate surgical choice are meaningful methods to improve the prognosis.关键词
子宫肿瘤/肉瘤/临床特点/诊断/治疗Key words
Uterine neoplasms/Sarcomas/Clinical features/Diagnosis/Therapy引用本文复制引用
陈伟芳,张江宇,王意..子宫肉瘤34例临床特征分析[J].实用医学杂志,2016,32(16):2692-2694,3.
