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目的分析子宫富于细胞型平滑肌瘤(cellular uterine leiomyoma,CUL)的临床特性及治疗方法。方法 2002～2012年郫县西南兵工成都医院收治的经术后病理学诊断为CUL患者共计30例,对全部病例的临床表现、超声影像、病理特征以及随访情况进行分析总结。结果所有CUL患者的临床表现以月经改变为主,影像学特征以低回声多见,病理特征为镜下见瘤细胞丰富,细胞大小、形态多一致,核分裂少见,核分裂相0～4个/10个高倍视野(high power field,HPF)。结论 CUL属于良性子宫肿瘤,但应注意随访。
Objective To analyze the clinical characteristics and treatment of uterine leucoma leukemia (CUL). Methods A total of 30 CUL patients diagnosed by postoperative pathology in Chengdu County Southwest Ordnance Chengdu Hospital from 2002 to 2012 were analyzed. The clinical manifestations, ultrasonic images, pathological features and follow-up of all cases were analyzed and summarized. Results The clinical manifestations of all CUL patients were mainly menstrual changes. The features of imaging were more common with hypoechoicity. The pathological features were abundant tumor cells, uniform cell size and morphology, rare mitosis, 0-4 / 10 mitosis A high power field (HPF). Conclusion CUL belongs to benign uterine tumor, but should pay attention to follow-up.