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目的探讨子宫肉瘤的临床特点和病理特征,旨在提高该病的诊治效果及改善预后。方法对32例经病理检查证实为子宫肉瘤患者的临床资料和诊治过程进行回顾性分析。结果子宫内膜间质肉瘤16例;子宫平滑肌肉瘤10例;子宫癌肉瘤6例。32例子宫肉瘤部位:宫腔18例,宫颈2例,肌壁间/浆膜下12例;子宫肉瘤病灶平均直径(3.8±1.7)cm。病灶均以实性为主。全部患者均予以手术联合化疗,患者术后1、3、5年生存率分别为96.9%、90.6%、81.3%。结论子宫肉瘤患者中间质肉瘤发生率较高,且患者的MRI图像存在一定的特异性,需要予以重视,在早期确诊子宫肉瘤后应尽快予以手术联合化疗措施,从而可改善患者的术后生存率和预后情况。
Objective To investigate the clinical features and pathological features of uterine sarcoma in order to improve the diagnosis and treatment of the disease and improve the prognosis. Methods The clinical data and diagnosis and treatment of 32 patients with uterine sarcoma confirmed by pathological examination were retrospectively analyzed. Results 16 cases of endometrial stromal sarcoma; 10 cases of uterine leiomyosarcoma; 6 cases of uterine carcinosarcoma. 32 cases of uterine sarcoma: uterine cavity in 18 cases, 2 cases of cervical, muscular wall / subserosal in 12 cases; the average diameter of uterine sarcoma (3.8 ± 1.7) cm. Lesions are based on solid. All patients were treated with surgery combined with chemotherapy, 1, 3, 5-year survival rates were 96.9%, 90.6%, 81.3%. Conclusion The incidence of interstitial sarcoma in patients with uterine sarcoma is high, and the MRI images of patients have certain specificity, which needs attention. In the early diagnosis of uterine sarcoma, the operation should be combined with chemotherapy as soon as possible to improve the postoperative survival Rate and prognosis.