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目的:探讨分析子宫特殊类型平滑肌瘤的病理特点。方法:选取我院收治的50例子宫特殊类型平滑肌瘤患者作为研究对象,时其进行5年的随访,观察患者的手术方式、肌瘤复发、恶变等情况。结果:50例子宫特殊类型平滑肌瘤患者中,17例子宫静脉内平滑肌瘤,12例富于细胞性平滑肌瘤,9例非典型性平滑肌瘤,5例脂肪性平滑肌瘤,4例上皮样平滑肌瘤,3例恶性潜能未确定平滑肌瘤,其中4例术后复发,没有恶变病例。结论:子宫特殊类型平滑肌瘤大部分均为良性肌瘤,针对恶性潜能子宫平滑肌瘤的诊断必须慎重。
Objective: To investigate the pathological features of the special type of leiomyoma of the uterus. Methods: Fifty patients with leiomyoma of the uterus treated in our hospital were selected as the research object. The patients were followed up for 5 years to observe the operation mode, fibroid recurrence and malignant transformation. Results: Of the 50 cases of uterine leiomyoma, 17 cases of uterine venous leiomyoma, 12 cases of leiomyoma, 9 cases of atypical leiomyoma, 5 cases of leiomyoma of the lip, Cases of epithelioid leiomyoma, 3 cases of malignant potential undetermined leiomyoma, including 4 cases of recurrence, no malignant cases. Conclusion: Most of the special types of leiomyomas of the uterus are benign myomas. The diagnosis of uterine leiomyomas of malignant potential must be carefully diagnosed.