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1980年6月至1990年6月收治子宫肉瘤46例,占收治的子宫恶性肿瘤1926例的2.3%,其中Ⅰ期10例、Ⅱ期6例、Ⅲ期25例、Ⅳ期5例。46例均有病理证实,其中平滑肌肉瘤28例,内膜间质肉瘤6例,内膜间质异位症4例,中胚叶混合瘤型5例,癌肉瘤型3例,好发于肌层,光镜下见癌细胞密集,排列紊乱,大小形态不一,核异型性明显,核染色质深,核膜不清,核仁明显,核分裂像多在5/10HPL可见瘤巨细胞及多核瘤巨细胞。治疗以手术为主,辅之以化疗和(或)放疗。
From June 1980 to June 1990, 46 cases of uterine sarcomas were treated, accounting for 2.3% of 1926 cases of uterine malignancies admitted, including 10 cases of stage Ⅰ, 6 cases of stage Ⅱ, 25 cases of stage Ⅲ and 5 cases of stage Ⅳ. 46 cases were pathologically confirmed, including 28 cases of leiomyosarcoma, 6 cases of endometrial stromal sarcoma, endometrial stromal disease in 4 cases, mesodermal mixed tumor in 5 cases, 3 cases of carcinosarcoma, occur in the muscle Layer, under the light microscope, see cancer cells dense, disorderly arrangement, the size of different forms, obvious nuclear atypia, deep chromatin, nuclear membrane unclear, obvious nucleoli, mitotic image more in 5 / 10HPL visible tumor giant cells and multi-core Tumor giant cells. Surgical treatment-based, supplemented by chemotherapy and (or) radiotherapy.