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妇女盆腔、主动脉旁、网膜淋巴结内“苗勒氏腺性包涵囊肿”,其发生率由5％～20％不等,现较普遍认为由间皮陷入淋巴结内化生而来,因淋巴结内“腺性结构”衬复苗勒氏上皮,多数呈输卵管上皮分化,少数呈宫内膜或宫颈上皮分化,偶可衍化为交界性浆液性肿瘤上皮或癌变。因此,需与淋巴结内子宫内膜异位症、转移癌鉴别,若出现于卵巢交界性浆液性肿瘤伴淋巴结内“苗勒氏上皮或交界性浆液性肿瘤上皮腺性包涵囊肿”,并不影响患者预后,但伴网膜浸润性种植或/及淋巴结内“苗勒氏腺性包涵囊肿”癌变,则影响预后,需进一步根治性手术及化疗。
Women pelvic, para-aortic, omental lymph nodes within the “Müller’s gland cyst”, the incidence rate from 5% to 20%, is now generally believed that the mesothelium into lymph nodes arising from, due to lymph nodes Within the “glandular structure” lining Müllerian epithelium, the majority of tubal epithelial differentiation, a few were endometrial or cervical epithelial differentiation, even can be degenerated into a borderline serous tumor epithelium or cancer. Therefore, the need for endometriosis with lymph nodes, metastatic cancer identification, if it occurs in the borderline serous ovarian tumor with lymph nodes “Müllegg’s epithelium or borderline serous cyst tumor epithelial cyst” does not affect Patients with prognosis, but with retinal infiltration or / and lymph node “Müller’s gland cyst” cancer, then affect the prognosis, requiring further radical surgery and chemotherapy.