非典型性息肉样腺肌瘤5例临床病理学观察

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非典型性息肉样腺肌瘤(APA)是由非典型性或复杂结构的子宫内膜样腺体及平滑肌成分组成的病变,生物学行为通常良性,其形态学较复杂,且临床症状不典型,易漏诊、误诊。全文分析5例APA患者的临床资料,其中4例发生在绝经前;组织学上4例纤维肌性间质中出现轻到中度不典型增生的腺体,1例出现明显恶性转化。5例患者预后均良好。 Atypical polyp adenomatous neoplasia (APA) is characterized by atypical or complex structures of endometrioid glandular and smooth muscle components. The biological behavior is usually benign, the morphology is complicated, and the clinical symptoms are not typical Easy to missed diagnosis, misdiagnosis. The clinical data of 5 patients with APA were analyzed in the full text, 4 of them occurred in premenopausal women. Histologically, 4 cases of mild to moderate atypical hyperplasia appeared in the fibromuscular stroma, and 1 case had malignant transformation. All 5 patients had good prognosis.
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