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近来,由于照明系统及子宫膨胀方法的应用,宫腔镜检查成为诊断子宫腔内病变的可靠手段。Sugimoto 1975年详细报告了内膜癌的宫腔镜诊断。但直到今天尚未见报导子宫恶性混合型苗勒氏管肿瘤的宫腔镜表现,可能是由于这种疾病很罕见。本文报道从1968年使用宫腔镜以来见到的两例此类肿瘤的宫腔镜检查结果。子宫恶性混合型苗勒氏管肿瘤是一种罕见的具有瘤样及肉瘤样变化特征的肿瘤。占全部子宫恶性肿瘤的2～5%。来源于位于内膜表面上皮下的多能性间叶细胞,根据在肉瘤样间质中是否有异源结构如肌肉、软骨及骨成分而分为同源及异源两型。
Recently, hysteroscopy has become a reliable means of diagnosing lesions in the uterine cavity due to the application of lighting systems and uterine inflation methods. Sugimoto 1975 detailed report of hysteroscopy diagnosis of endometrial cancer. However, until today there have been no reports of hysteroscopic manifestations of malignant mixed Miele’s tumor in the uterus, probably because the disease is rare. This article reports the results of two hysteroscopy examinations of the tumors seen since hysteroscopy in 1968. Malignant mixed Miele’s canal tumor is a rare tumor with tumor-like and sarcomatoid-like features. Accounting for 2 to 5% of all uterine malignancies. It is derived from pluripotent mesenchymal cells located in the subepithelial surface of the intima and is classified into homologous and heterologous types according to whether there are heterologous structures such as muscle, cartilage and bone in the sarcoma-like stroma.