摘要
苗勒管腺肉瘤是一类罕见的肿瘤,美国M.D.Anderson癌症中心总结了41例苗勒管腺肉瘤,71%起源于子宫,其余部位有卵巢(15%)、盆腔(12%)和宫颈(2%)。腺肉瘤由良性或非典型性的腺体成分和肉瘤样间质构成,其组织学特征和生物学行为介于良性的腺纤维瘤和高度恶性的癌肉瘤之间。苗勒管腺肉瘤多见于绝经后妇女,临床呈低度恶性,不易远处转移,但复发率高。本文对苗勒管腺肉瘤的临床特征与诊治进行综述,以提高临床医生对此类少见肿瘤的认识。
出处
《中华妇产科杂志》
CAS
CSCD
北大核心
2009年第6期478-480,共3页
Chinese Journal of Obstetrics and Gynecology
参考文献22
-
1Verschraegen CF, Vasuratna A, Edwards C, et al. Clinicopathological analysis of mullerian adenosarcoma: the M. D. Anderson Cancer Center experience. Oncol Rep, 1998,5 : 939- 944.
-
2Clement PB, Scully RE. Mtillerian adenosareoma of the uterus. A clinicopathologic analysis of ten cases of a distinctive type of mullerian mixed tumor. Cancer,1974,34:1138-1149.
-
3Pasternak S, Macintosh R. Uterine adenosarcoma detected by Papanicolaou smear: a case report. Diagn Cytopathol,2006,34: 495 -498.
-
4Abu J, Ireland D, Brown L. Adenosarcoma of an endometrial polyp in a 27-year-old nulligravida : a case report. J Reprod Med, 2007,52:326-328.
-
5Soslow RA, Ali A, Oliva E. Mullefian adenosarcomas: an immunophenotypie analysis of 35 cases. Am J Surg Pathol,2008, 32:1013-1021.
-
6Ozmen B, Uzum N, Unlu C, et al. Surgical conservation of both ovaries in an adolescent with uterine mullerian adenosarcoma: a case report. J Minim Invasive Gynecol, 2007,14:375-378.
-
7Farhat F, Fakhruddine N. A case of synchronous relapse of breast cancer and uterine mullerian adenosarcoma post tamoxifen in a premenopausal woman. Eur J Gynaecol Oncol,2008,29:95-97.
-
8Clement PB, Scully RE. Mullerian adenosarcoma of the uterus : a elinieopathologic analysis of 100 cases with a review of the literature. Hum Pathol, 1990,21:363-381.
-
9Takeshima N, Tabata T, Nishida H, et al. Mullerian adenosarcoma of the uterus : report of a case with imprint cytology. Acta Cytol,2001,45 :613-616.
-
10Tackin S, Bozaci EA, Sonmezer M, et al. Late recurrence of uterine Mullerian adenosarcoma as heterologous sarcoma: Three recurrences in 8 months increasing in number and grade of sarcomatous components. Gynecol Oncol,2006,101:179-182.
二级参考文献8
-
1Zaloudek CJ,Norris HJ.Adenofibroma and adenosarcoma of the uterus:a clinicopathologic study of 35 cases[J].Cancer,1981,48:354 ~ 366.
-
2Hattab EM,Nandyala P,Rhatigan RM.The stromal component of large endometrial polyps[J].Int J Gynecol Path,1999,18(3):332 ~ 337.
-
3Seidman JD,Chauhan S.Evaluation of the relationship between adenosarcoma carcinosarcoma and a hypothesis of the histogenesis uterine sarcomas[J].Int J Gynecol pathol,2003,22(1):75 ~ 82.
-
4Goidozzi F,Smith T,Koller AB,et al.Management of uterine mullerian adenosarcoma with extrauterine metastatic deposits[J].Gynecol Oncol,2000,77(2):464~466.
-
5Gollard R,Kosty M,Bordin G,et al.Two unusual presentations of mullerian adenosarcoma[J].Gynecol Oncol,1995,59(2):412 ~ 422.
-
6Michener CM,Simon NL.Ovarian conservation in a woman of reproductive age with mullerian adenosarcoma[J].Gynecol Oncol,2001,83 (2):424 ~427.
-
7Clement PB,Scully RE,Mullerian adenosarcoma of the uterus.A clinicopathologic analysis of ten cases of a distinctive type of mullerian mixed tumor[J].Cancer,1974,34(1):1138 ~ 1152.
-
8Clement PB,Scully RE.Mullerian adenosarcoma of the uterus.A clinicopathologic analysis of 100 cases with a review of the literature[J].Hum Pathol,1990,21(5):363 ~ 381.
共引文献4
-
1欧兵玺,谭天林,周丽,刁瑞容,刘学容.子宫体苗勒氏管腺肉瘤致子宫扭转1例[J].西南军医,2010,12(6):1275-1275.
-
2肖雪,陈敦金,刘娟,刘瓅,李伟杰,杨耀明,林琳,郭玉贤.青年期子宫苗勒管腺肉瘤2例临床诊治分析[J].广东医学,2013,34(24):3751-3753. 被引量:2
-
3刘彩虹.子宫腺肉瘤1例报告[J].淮海医药,2017,35(4):499-500.
-
4杨建峰,杨元元,刘东.子宫苗勒腺肉瘤PTEN、Survivin的表达及其与肿瘤临床病理的关系[J].现代医学,2020,48(4):432-437. 被引量:1
同被引文献19
-
1徐海风.卵巢囊腺瘤与囊腺癌的CT诊断[J].临床放射学杂志,2006,25(5):446-448. 被引量:27
-
2Cantrell LA, van Le L. Carcinosarcoma of the ovary a review [J]. Obstet Gynecol Surv, 2009, 64(10): 673-80.
-
3Kaku T, Ogawa S, Kawano Y, et al. Histological classification of ovarian cancer[J]. Med Electron Microsc, 2003, 36(1): 9-17.
-
4Silasi DA, Illuzzi JL, Kelly MG, et al. Carcinosareoma of the ovary[J].Int J Gyneeol Cancer, 2008, 18(1): 22-9.
-
5Brown E, Stewart M, Rye T, et al. Carcinosarcoma of the ovary: 19 years of prospective data from a single center[J]. Cancer, 2004, 100 (10): 2148-53.
-
6Kondi-Pafiti A, Grapsa D, Hasiakos D, et al. Carcinosarcomas of the uterus and ovary: a clinicopathologic and immunohistochemical study of 11 cases[J]. Eur J Gynaecol Oncol, 2009, 30(1): 93-7.
-
7Jonson AL, Bliss RL, Truskinovsky A, et al. Clinical features and outcomes of uterine and ovarian carcinosarcoma [J]. Gynecol Oncol, 2006, 100(3): 561-4.
-
8Silasi DA, illuzzi JL, Kelly MG, et al. Carcinosarcoma of the ovary [J]. Int J Gynecol Cancer, 2008, 18(1): 22-9.
-
9Saito A, Kuwatsuru R, Ogishima D,et al. MR imaging of ovarian carcinosarcoma[J]. Radiat Med. 1999, 17(6): 447-50.
-
10Szklaruk J, Tamm EP, Choi H, et al. MR imaging of common and uncommon large pelvic masses[J]. Radiographics. 2003, 23(2): 403 -24.
引证文献3
-
1凌云,冯春颜,夏树枚,沈立红,罗丽琼,张汉英.卵巢癌肉瘤的磁共振表现与临床病理对照研究[J].南方医科大学学报,2010,30(7):1648-1650. 被引量:6
-
2吴雨兰,范艳艳,李佳,付艳.未婚无性生活女性子宫苗勒管腺肉瘤1例[J].中国计划生育和妇产科,2019,11(6):91-93.
-
3黄文鹏,李莉明,舒姣,陈奎生,高剑波.原发性卵巢癌肉瘤的CT表现与分期价值[J].临床放射学杂志,2021,40(7):1355-1360. 被引量:4
二级引证文献10
-
1王霄英,薛华丹.泌尿生殖系统影像学2011年度进展报告[J].中国继续医学教育,2011,3(8):75-85. 被引量:23
-
2王丽,陈妹琼,郭雪霏,李东爽.原发卵巢癌肉瘤1例报告及文献复习[J].浙江临床医学,2011,13(3):318-319.
-
3侯松岐.卵巢癌肉瘤影像表现及病理对照并文献复习[J].中国医疗器械信息,2018,24(21):60-62. 被引量:3
-
4黄文鹏,李莉明,舒姣,陈奎生,高剑波.原发性卵巢癌肉瘤的CT表现与分期价值[J].临床放射学杂志,2021,40(7):1355-1360. 被引量:4
-
5王娜,段茜婷,寸红丽,王关顺.卵巢癌肉瘤影像表现及病理对照[J].实用放射学杂志,2021,37(12):2027-2030. 被引量:3
-
6陈妙勤.卵巢癌肉瘤的CT和MR影像表现及诊断价值分析[J].中国药业,2021,30(S02):75-76.
-
7康秋满.原发性卵巢癌超声图像特征及与术后病理结果的对照分析[J].四川生理科学杂志,2022,44(3):488-490.
-
8姜楠,胡粟,尚亚雷,平小夏,孟倩,王希明,杨玲,胡春洪.妇科癌肉瘤影像表现及临床病理特点[J].临床放射学杂志,2023,42(9):1477-1481.
-
9龙阳飞,安甲佳,马静.卵巢癌肉瘤一例[J].临床放射学杂志,2023,42(12):1922-1923.
-
10贾东广.计算机体层成像与磁共振成像在原发性卵巢癌分期中的应用研究[J].中国医疗器械信息,2024,30(7):66-68.
-
1韩肖燕,冷金花,郭丽娜,向阳,郎景和.难治性阴道子宫内膜异位症恶变为腺肉瘤一例及文献复习[J].中华妇产科杂志,2009,44(10):785-787. 被引量:1
-
2陈立平,夏阳,赵红晔,邹洪杰,王功伟.宫颈苗勒管腺肉瘤1例并文献复习[J].中国实验诊断学,2006,10(11):1369-1370.
-
3蒋智铭,张惠箴,林万和,赵保华.子宫苗勒管腺肉瘤的诊断和鉴别诊断[J].临床与实验病理学杂志,1995,11(3):211-212. 被引量:3
-
4陆懿,汤如勇.子宫苗勒管腺肉瘤1例[J].同济大学学报(医学版),2002,23(1):73-73.
-
5罗世政.子宫苗勒管腺肉瘤1例[J].临床肿瘤学杂志,2004,9(5):455-455.
-
6王焕,李文薇,杨越波.子宫苗勒氏管腺肉瘤1例[J].甘肃医药,2014,33(3):239-240.
-
7景巨鹏,黄波,杨江涛.胃肠道间质瘤手术治疗的临床特征与诊断分析[J].临床医药文献电子杂志,2016,3(8):1421-1422. 被引量:2
-
8陈梅福,刘剑鸣,吕新生.胰腺囊性肿瘤的诊断与治疗[J].中国普通外科杂志,2012,21(3):345-349. 被引量:7
-
9邹云峰,严树宏,鲁洁琼.子宫苗勒管腺肉瘤临床及病理观察[J].现代实用医学,2010,22(10):1182-1184. 被引量:7
-
10张安民,王啸,张兰仙.子宫Müllerian腺肉瘤伴肉瘤过度生长临床病理分析[J].临床与实验病理学杂志,2006,22(6):654-658. 被引量:9