子宫内膜癌合并子宫腺肌病癌变一例及文献复习

Endometrial Carcinoma with Adenomyosis Malignant Transformation:A Case Report and Literature Review

子宫内膜癌合并子宫腺肌病癌变临床罕见,无特异性临床表现,多依靠术后病理明确诊断,其治疗多依据子宫内膜癌的治疗原则,预后尚不清楚。报告了1例57岁因绝经后阴道出血就诊的女性患者,彩色超声提示子宫腺肌病,子宫内膜厚9 mm,诊断性刮宫病理提示子宫内膜样腺癌,进一步行子宫内膜癌全面分期术,术后病理提示子宫内膜腺癌合并子宫腺肌病癌变。术后诊断为子宫内膜癌Ⅰa期合并子宫腺肌病癌变,术后定期随访,未见复发征象。

Endometrial cancer complicated with adenomyosis canceration is a rare disease with no specific clinical manifestations.The diagnosis is mostly determined by postoperative pathology,and its treatment is mostly based on the treatment principles of endometrial cancer.The prognosis is still unclear.We report a 57-year-old woman who presented for postmenopausal vaginal bleeding.Color Doppler ultrasound suggested adenomyosis with endometrium thickness of 9 mm,and curettage pathology suggested endometrioid adenocarcinoma.Further comprehensive staging of endometrial cancer was performed.Postoperative pathology revealed endometrial adenocarcinoma with adenomyosis canceration.The patient was diagnosed as stageⅠa endometrial cancer complicated with adenomyosis malignant transformation.Regular follow-up showed no recurrence at present.