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本文对我院1962～1978年收治的子宫肉瘤资料较完整的19例进行了临床分析,发病的高峰年龄50～60岁,多胎多见,其特殊临床表现月经紊乱,绝经后不规则阴道流血,盆腔肿块生长迅速伴有腹痛,病程短,继发性平滑肌肉瘤多发生于较大的平滑肌瘤。术前确诊有困难,多在术后病理检查确诊。仍以手术治疗为主。本文讨论了子宫肉瘤来源及分类,对诊断子宫肉瘤及继发于平滑肌的肉瘤提出了我们的意见。本组五年存活率偏高,分析了原因。
This article has carried on the clinical analysis to 19 cases of uterine sarcoma treated in our hospital from 1962 to 1978. The peak age of onset is 50 to 60 years old, more common in multiple births, its special clinical manifestations are menstrual disorders, irregular vaginal bleeding after menopause, Pelvic mass growth is accompanied by rapid abdominal pain, short duration, and secondary leiomyosarcoma mostly occurs in larger leiomyomas. Preoperative diagnosis is difficult, and most of them are confirmed by postoperative pathological examination. Still based on surgical treatment. This article discusses the origin and classification of uterine sarcoma, and puts forward our opinion on the diagnosis of uterine sarcoma and sarcoma secondary to smooth muscle. The five-year survival rate in this group was high, and the reasons were analyzed.