49例子宫肉瘤临床及病理分析

Clinical and pathological analysis on 49 patients with uterine sarcoma.

对1962年1月至1991年12月30年间49例子宫肉瘤病理类型、诊断及预后进行了分析。结果表明:该类疾病无特异临床表现,主要为阴道异常出血、下腹包块及下腹痛。借助诊刮术前诊断率:子宫平滑肌肉瘤仅18.2%(2/11),子宫恶性苗勒氏管混合瘤为66.7%(4/6),子宫内膜间质肉瘤为100%(5/5)。子宫肉瘤的5年存活率仅24.2%,且匀为Ⅰ期患者,说明分期早晚在决定预后方面起重要作用。

Objective:To analyze the pathologic type, the diagnosis and the prognosis of uterine sarcoma. Design: 49 patients with uterine sarcoma during Jan. 1962 to Dec. 1991 were analyzed retrospectively. Result: The chief symptoms of this disease were abnormal vaginal bleeding,lower abdominal mass and pain. By diagnosic curettage, the preoperative diagnosis rate was 18.2% in uterine leiomyosarcoma, 66.7% in malignant mixed mullerianoma and 100% in endometrial stromal sarcoma. The 5 year survival rate of uterine sarcoma was only 24.2% and all survival patients were in stage Ⅰ.Conelusion:The diagnostic rate was high by preoperative curettage for endometrial stromal sarcoma and malignant mixed mullerianoma. The 5 year survival rate was related to the stage.