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目的 :分析子宫M櫣ｌｌｅｒｉａｎ腺肉瘤的临床病理特点及其鉴别诊断?椒?:观察 13例子宫腺肉瘤临床病理特征 ,并进行组织化学和免疫组化染色分析。结果 :病人年龄 2 6～ 6 7岁 ,主要表现为阴道不规则流血和子宫增大。肿瘤位于宫体内膜、宫颈内膜和子宫肌壁。镜下腺上皮呈M櫣ｌｌｅｒｉａｎ上皮系列?渲氏赴煨头旨段瘛蚣?,核分裂 4～ 32个 / 10HPF ,具有腺周套袖和息肉样突入腺腔的结构。 4例伴肉瘤过度生长。间质伴横纹肌样 (rhabdoid)分化 2例、伴性索样分化 1例、伴横纹肌肉瘤3例、伴灶性软骨成分 1例。结论 :该肿瘤具有一系列临床病理特征 ,少数可伴肉瘤过度生长 ,间质具有多向分化潜能 ,应与相关肿瘤鉴别
OBJECTIVE: To analyze the clinicopathological characteristics and differential diagnosis of uterine M? Llerian adenosarcoma? Pepper ?: To observe the clinicopathological features of 13 cases of uterine adenosarcoma, and histochemical and immunohistochemical staining. Results: Patients aged 26 to 67 years old, mainly manifested as vaginal irregular bloodshed and uterine enlargement. The tumor is located in the endometrium, endometrium and uterine muscle wall. Microscopic gland epithelium was M 櫣 llerian epithelial series? Xiu Shi go to simmer head section 瘛 瘛 encephalomyelitis ?, Nuclear disruption 4 ~ 32 / 10HPF, with glandular sleeve and polypoid into the glandular cavity structure. 4 cases with sarcoma overgrowth. 2 cases of interstitial rhabdoid differentiation, 1 case of accessory cordlike differentiation, 3 cases of rhabdomyosarcoma and 1 case of focal cartilage. Conclusion: The tumor has a series of clinicopathological features, a few may be associated with overgrowth of sarcoma, interstitial multidirectional differentiation potential, should be related to the identification of tumors