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[多形性横纹肌肉瘤型子宫异源性中胚层肿瘤]

[A heterologous mesodermal tumor of the uterus of the pleomorphic rhabdomyosarcoma type].

作者信息

Vlasov V I

出版信息

Arkh Patol. 1975;37(6):81-3.

PMID:1241279
Abstract

In the available literature mesodermal tumours of the uterus are described under various names (botryoid sarcoma, carcinocarcoma, chondrosarcoma, rabdomyosarcoma, etc.). For the sake of unification of terminology of these tumours, Kehrer suggested the term "mesodermal mixed tumours", thereby reflecting their origin from cellular elements of the mesoderma. Histologically, benign and malignant variants of tumours are identified; these tumours are characterized by multi-component composition of tissues forming integral parts thereof, the latter may be homologous or heterologous. Clinically, the said tumours are diagnosed in rare cases. Diagnosis is made on the basis of a microscopical investigation of a scrape from the uterine cavity, or investigation of the operation material. Heterologic tumours of the uterus of the type of rabdomyosarcoma have been described by a number of authors. As to their microscopical structure, they may be divided into embryonal, alveolar and pleomorphous. A case of heterologic mesodermal tumour, verified as a pleomorphous rabdomyosarcoma, which could develop in a long existed mesodermal tumour of the uterus in a woman 67 years of age, is described.

摘要

在现有文献中,子宫的中胚层肿瘤有多种命名(葡萄状肉瘤、癌肉瘤、软骨肉瘤、横纹肌肉瘤等)。为统一这些肿瘤的术语,克勒尔提出了“中胚层混合瘤”这一术语,从而反映出它们起源于中胚层的细胞成分。从组织学上看,可识别出肿瘤的良性和恶性变体;这些肿瘤的特点是构成其整体部分的组织具有多成分组成,后者可以是同源的或异源的。临床上,这些肿瘤很少被诊断出来。诊断是基于对子宫腔刮片的显微镜检查或手术材料的检查。许多作者都描述过横纹肌肉瘤类型的子宫异质性肿瘤。就其微观结构而言,它们可分为胚胎型、肺泡型和多形型。本文描述了一例异质性中胚层肿瘤,经证实为多形性横纹肌肉瘤,该肿瘤可发生在一名67岁女性长期存在的子宫中胚层肿瘤中。

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