【摘要】 目的 探讨子宫腺肉瘤早期的临床表现、影像学特征、组织病理学以及治疗和预后。 方法 对2006年—2010年病理诊断为子宫腺肉瘤的4例青年女性患者进行回顾性分析。 结果 子宫腺肉瘤占同期子宫肉瘤的6.8％（4/58），患者平均发病年龄为40岁，均未绝经。患者均有阴道不规则流血，B型超声示最大1例肿物直径为11 cm，其余结节直径平均约1.5 cm。1例患者的CA125水平高于正常。术后随访期间所有患者身体状态良好，无复发。 结论 子宫腺肉瘤恶性程度较低，如能及时治疗，预后较好。
【Abstract】 Objective To investigate the clinical manifestations, imaging features, histopathology, treatment and prognosis of uterine adenosarcoma. Methods The clinical data of four young female patients with uterine adenosarcoma collected from 2006 to 2010 were analyzed retrospectively. Results Uterine adenosarcoma accounted for 6.8% in uterine sarcoma (4/58). All patients were not menopausal, with the average onset age of 40 years old. Abnormal vaginal bleeding were seen in all patients. The diameter of the largest nodule was 11 cm, and the average of the others was 1.5cm approximately in B-ultrasound image. The value of CA125 increased in one patient. During the follow-up period, all patients survived without tumor recurrence. Conclusion Uterine adenosarcoma is a low-grade malignancy. Timely treating may lead to a good prognosis.
Citation： MEI Youwen,LI Jinke,HU Lina. Diagnosis and Treatment for Uterine Adenosarcoma in the Young Females. West China Medical Journal, 2011, 26(5): 717-719. doi: Copy