摘要
45岁以下子宫内膜场常被忽略,但在临床病例中并非少见。本文对收治的39例45岁以下子宫内膜癌患者进行临床和病理分析。发病率为14.13%.临床特征包括;平均年龄37.82岁,月经紊乱、不孕.病理特点:分化好,有时难于与子宫内膜腺瘤样增生和不典型增生区别.本文强调分段诊断性刮宫是早期诊断45岁以下子宫内膜癌的有效方法,特别是对主诉月经不调或不孕合并子宫增大的肥胖妇女。
Endoimetrial carcinoma is frequently ignored in women under the age of 45 years,but it does occur.Thirty-nine cases of end6metrial carcinoma in this group, were reviewed clinically and pathofogically and accounted for 14.13% of all endometrial carcinoma diagnosed in the hospital. Clinical features:average age 37.82,irregular menses and infertility. Pathological findings:sometimes,it was difficult to distinguish atypical endometrial hroerplasia from well-differentiated carcinoma. As an early diagnosis method, fractional curettage is emphasized,especially for the fat women complaining of irregular menses or in fertility with coexisting uterine enlargement.
关键词
子宫肿瘤
子宫内膜癌
病因
诊断
治疗
预后
endometrial carcinoma
irregular menses
atypical endometrial hyperplasia
curettage
age