低级别子宫内膜间质肉瘤的诊治

Diagnosis and Treatment of Low-grade Endometrial Stromal Sarcoma

低级别子宫内膜间质肉瘤(LG-ESS)是我国子宫内膜间质肉瘤的主要类型,是一种生长不活跃的恶性肿瘤,其缺乏典型的临床症状,术前影像学检查准确率极低,尤其是早期患者。LG-ESS与子宫良性肿瘤较为相似,因而极易误诊,其区别于子宫良性肿瘤的特点是呈指状浸润子宫肌层。目前LG-ESS的治疗主要采用手术以及激素治疗,其中早期LG-ESS推荐采用全子宫、双附件切除术治疗,预后较好。LG-ESS总复发率高,复发时限长,因而需长期随访。

Low-grade endometrial stromal sarcoma（LG-ESS） is the most common type of endometrial stromal sarcoma in China. It has no typical symptoms and low preoperative imaging accuracy especially for early stages patients. It is similar to the uterine benign tumor, so the misdiagnosis is ordinary. The sole discrimination is the finger like uterus infiltration of LG-ESS. Now the main treatments are operation and hormone therapy. The proposed operation method for early stage LG-ESS is hysterectomy and bilateral salpingo-oopherectomy. Though prognosis of the early stages LG-ESS is good,its high relapse rate and long relapse time require long term following up.