术前如何鉴别诊断子宫肉瘤与子宫肌瘤

Preoperative differential diagnosis of uterine sarcoma and uterine myoma

子宫肉瘤是一种少见的子宫恶性肿瘤,恶性程度高,术后复发率高,预后差。由于子宫肉瘤缺乏典型的临床表现、可靠的影像学特征和特异性的肿瘤标志物,准确的术前诊断非常困难。综合考虑多种因素,包括高危因素和临床症状、盆腔超声和MRI以及组织活检病理等,有助于术前鉴别子宫肉瘤与子宫肌瘤。

Uterine sarcoma is a rare uterine malignant tumor characterized by extremely aggressive behavior with a high recurrence rate and poor prognosis.It remains very challenging to distinguish uterine sarcomas from uterine fibroids prior to surgery because of the similar clinical manifestations and the lack of specific imaging features and tumor markers.An integrated analysis algorism including risk factors,symptoms,imaging analysis(pelvic ultrasound and MRI),and endometrial biopsy is helpful for the preoperative differential diagnosis between uterine sarcomas and uterine leiomyomas.