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子宫内膜高分化腺癌常因组织,颇似腺瘤型子宫内膜增生症,故易混淆。我院曾误诊一例报告如下:患女,59岁。因绝经15年阴道出血1月余就治。妇科检查:宫颈光滑,9点处有硬结,宫体前位如孕40余天大小,质硬,宫腔7.5厘米。拟诊为子宫赘生物待排除,行分段刮宫术,分别取暗红色碎组织送病检。镜下所见:子宫内膜间质稀少,腺体增多,大小不等,形状不规则,排列密集且有共壁现象。同一腺体的不同部位厚薄不一,厚处可达5～6层细胞,部分向腔内呈乳头状生长,薄处仅1～2层细胞。
The well-differentiated adenocarcinoma of the endometrium is often due to tissue, resembling adenoma-type endometrial hyperplasia, so it is confusing. Our hospital had misdiagnosed a case report as follows: Female, 59 years old. Due to menopause 15 years of vaginal bleeding treatment for more than a month. Gynecological examination: smooth cervix, induration at 9 o’clock, the front of the palace body is more than 40 days of pregnancy, hard, uterine cavity 7.5 centimeters. To be diagnosed as uterine neoplasms to be excluded, line segmentation curettage, dark red broken tissue were taken to the disease. Seen under the microscope: The endometrial stroma is sparse, the glands increase, the size varies, the shape is irregular, the arrangement is dense and there are common wall phenomena. The different parts of the same gland are of different thicknesses, and the thickness of the same gland can reach 5 to 6 layers of cells, some of which grow papillary in the lumen, and only 1 to 2 layers of cells are located in the thin part.