子宫肉瘤较少见,我院自1954年8月—1979年8月的25年中,共处理过8例。现就此症的诊断、治疗和预后作一探讨。经过对全部病理切片一个别的重作切片一的复查,确诊为平滑肌肉瘤者4例、间质肉瘤2例、恶性中胚叶混合瘤及粘液肉瘤各1例。全部病例均进行了随访。一、临床资料(一)症状阴道出血占87.5%(7/8);分泌物增多占半(4/8);其它为下腹痛及腹块史(3/8)以及腹块迅速长大(2/8)等。子宫增大5例,有3例如3~+月孕大小,全为5胎以上。年龄为35—56岁,平均45岁。1例发生于绝经后。增大的子宫较均匀,似粘膜下肌瘤。为不定时性或突发性,与经期无关,为其它子宫肿瘤所少见。本组2例下腹痛可能与肿瘤生长迅速有关。(二)诊断术前确诊者1例,系一自 Uterine sarcoma is rare, our hospital since August 1954 - August 1979 25 years, a total of 8 cases were treated. Now this disease diagnosis, treatment and prognosis for a discussion. After all the pathological sections of a re-made a slice of the review, diagnosed as leiomyosarcoma in 4 cases, 2 cases of interstitial sarcoma, malignant mesodermal mixed tumor and 1 case of myxosarcoma. All cases were followed up. First, the clinical data (a) symptoms of vaginal bleeding accounted for 87.5% (7/8); secretions accounted for half (4/8); other lower abdominal pain and abdominal mass history (3/8) and the rapid growth of the abdominal mass 2/8) and so on. 5 cases of uterine enlargement, 3 cases such as 3 ~ + month size of pregnancy, all for more than 5 tires. The age of 35-56 years old, with an average of 45 years old. One case occurred after menopause. Increased uterus is more uniform, like submucosal fibroids. Is not regular or sudden, and has nothing to do with menstruation, rare for other uterine tumors. Lower abdominal pain in 2 cases of this group may be related to rapid tumor growth. (B) diagnosis of preoperative diagnosis in 1 case, the Department of a self