卵巢子宫内膜样癌及合并子宫内膜异位症的临床及病理特征分析

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1、卵巢子宫内膜样癌及合并子宫内膜异位症的临床及病理特征分析(内蒙古自治区人民医院病理科内蒙古呼和浩特010017)【摘要】目的：探讨卵巢子宫内膜样癌及合并子宫内膜异位症的临床病理特征。方法：选取我院收治的52例卵巢子宫内膜样癌患者为研究对彖，收治时间为2014年5月〜2016年5月，按照患者的病理特征，将其分为两组，分别为原发卵巢子宫内膜样癌组(简称原发组)25例与子宫内膜异位症恶变组(简称恶变组)27例，另外选取同期收治的18例卵巢浆液性囊腺癌患者作为对照组，比较三组的临床特征。结果：①恶变组患者的特征主要为阴道不规则流血、腹部胀痛；原发组特征为阴道不规则流血、盆腔包块；恶变

2、组、原发组的阴道不规则流血率均高于对照组，对比有差异(P<0.05)o②在所选取的52例病患中，有21例(43.75%)患者为双侧性质，患者的肿瘤形状为圆形或者椭圆形。③子宫内膜异位症恶变患者的肿瘤切面性质为囊实性。利用显微镜检查，发现有2例(8.00%)患者存在宫内膜间质肉瘤。结论：合并子宫内膜异位症恶变患者的年龄相对较小,腹部胀痛发生率高，临床医师通过了解患者的临床病理特征，有利于准确诊断患者病情，尽早采取治疗措施。【关键词】子宫内膜异位症；患者；病理特征【中图分类号】R711.71【文献标识码】A【文章编号】1007-8231(2016)19-0012-02[Ab

3、stract]ObjectiveTostudytheendometrialcarcinomaofovaryendometriosisandmergeroftheclinicalpathologicalfeatures.MethodsOurhospitalthe52casesofovarianandendometrialcarcinomapatientsastheresearchobject,andtreatedtimeinMay2014-May2016,accordingtothepathologicalcharacteristicsofpatients,itcanbediv

4、idedintotwogroups,respectively,theprimaryovarianendometrialcarcinomagroup(hereinafterreferredtoastheprimarygroup)25caseswithendometriosisgroupgroup(hereinafterreferredtoasmalignanttransformation)27casesofmalignanttransformation,butalsoduringthesameperiodwereselected18casesofovarianserouscys

5、tadenocarcinomapatientsascontrolgroup,tocomparetheclinicalfeatureofthreegroups.Results(1)thecharacteristicsofthegroupofpatientswithmalignanttransformationmainlyforirregularvaginalbleeding,abdominalpain;Theprimarysetoffeaturesforirregularvaginalbleeding,pelvicbagpiece;Evilchange,theprimarygr

6、oupofirregularvaginalbleedingratearehigherthanthecontrolgroup,therearedifferencesincontrastgroup(P<0.05).(2)intheselectionof52casesofpatients,21patients(43.75%)forthebilateralnatureofthepatient'stumorwithacircularorovalshape.(3)endometriosispatientswithmalignantneoplasmpropertiesforcysti

7、corsolid.Useofmicroscopicexamination,foundthatthereare2cases(8.00%)patientswithintrauterinemembranestromalsarcoma.ConclusionThecombinationofendometriosispatientswithmalignanttransformationageisrelativelysmall,thehighincideneeofabdominalpain,cliniciansthr