子宫肉瘤误诊原因分析

The Analysis on Misdiagnosis Uterine Sarcoma

目的分析子宫肉瘤误诊原因。方法对解放军总医院1999年1月～2006年10月住院病理诊断为子宫肉瘤32例患者临床资料进行回顾性分析。结果32例子宫肉瘤患者分为误诊组10例(手术后病理确诊),对照组22例(手术前及术时确诊)。误诊10例特点为临床分期早,组织分化好。结论子宫肉瘤临床表现和辅助检查缺乏特异性指标及组织学特点是临床误诊的主要原因。

Objective To analyze the misdiagnosed causes of uterine sarcoma. Methods The clinical materials of 32 cases with uterine sarcoma diagnosed by pathology were analyzed retrospectively from Jan 1999 to Oct 2006. All the patients were divided into two groups： there were 10 cases（group Ⅰ ） diagnosed in error and 22 cases（group Ⅱ ） were diagnosed correctly before or in their operations.Their ages, clinical features, pathologic characteristics were compared between the two groups. Results The rate of misdiagnosed uterine sarcoma was 31.25%. In group Ⅰ there were earlier clinic stage and better tissue differentiation. Conclusion The histology characteristic of uterine sarcoma and absence of specific clinic representation and assistant examination are the major causes of misdiagnosed.