女性生殖器肉瘤与癌相比,所占比例很小,文献报道在0.35%～8%之间。其中子宫肉瘤的发病率居首位,对此又分为宫体和宫颈肉瘤,前者较后者约多10倍。女性生殖器其他部位肉瘤罕见。作者在1960～1972年治疗75例生殖器肉瘤。最常见的症状是生殖器出血,子宫肌层肉瘤和肌瘤肉瘤样变为规则性出血,与子宫肌瘤相仿,血量较多而持续长;经绝后出血见于晚期子宫壁肉瘤并发穿破时;子宫内膜肉瘤和阴道肉瘤往往引起洗肉水样分泌。生殖器肉瘤症状多种多样,无特异性,不能作为早期诊断,多数病人仅在手术后病理组织检查才诊断为生殖器肉瘤,但组织形态变化多端,据此分类困难。生殖器肉瘤无疑是40～60岁年龄的疾病,也常见发病年龄较早者。一般认为,自肌瘤恶变而来的肉瘤发病年龄较早于与肌瘤无关者。 Female genital sarcoma compared with cancer, the proportion of small, reported in the literature between 0.35% to 8%. Including the incidence of uterine sarcoma in the first place, this is divided into Palace and cervical sarcoma, the former about the latter about 10 times. Other parts of the female genital sarcoma rare. The authors treated 75 cases of genital sarcoma between 1960 and 1972. The most common symptoms are genital bleeding, myometrial sarcoma and fibroid sarcoma-like bleeding into regular, similar to the uterine fibroids, more blood and continued long; late bleeding after bleeding seen in advanced uterine wall sarcoma with concurrent piercing; Endometrial sarcomas and vaginal sarcomas often cause washings of meat samples. Genital sarcoma symptoms varied, non-specific, can not be used as an early diagnosis, most patients only diagnosed after surgery as genital sarcoma histopathology, but the tissue morphological changes, according to the classification difficulties. Genital sarcoma is undoubtedly the age of 40 to 60 years old disease, but also common in those older onset. Generally believed that, since the malignant myoma sarcoma age of onset earlier than those with fibroids.