Lack E E, Bitterman P, Sundeen J T
Department of Pathology, Georgetown University School of Medicine, Washington, DC 20007.
Hum Pathol. 1991 Dec;22(12):1289-91. doi: 10.1016/0046-8177(91)90113-4.
We report a case of müllerian adenosarcoma of the uterus with benign endometrioid epithelial component and histologically pure angiosarcoma. This seemingly unique sarcomatous ingredient, among uterine and extrauterine adenosarcomas reported in the English literature, is considered to be a homologous component of the tumor. The patient, a 71-year-old woman with a several-month history of intermittent vaginal bleeding, was found at abdominal hysterectomy to have a large polypoid intrauterine tumor with superficial extension into the myometrium. The patient was treated with 6,000 rad of adjuvant radiation but died a few months after of what clinically appeared to be massive abdominal bleeding. The literature regarding uterine tumors classified as angiosarcoma or malignant hemangioendothelioma is briefly reviewed.
我们报告一例子宫苗勒管腺肉瘤，其具有良性子宫内膜样上皮成分以及组织学上纯粹的血管肉瘤。在英文文献报道的子宫和子宫外腺肉瘤中，这种看似独特的肉瘤成分被认为是肿瘤的同源成分。该患者为一名71岁女性，有数月间歇性阴道出血病史，经腹子宫切除术中发现有一个大的息肉样子宫内肿瘤，表面延伸至肌层。患者接受了6000拉德的辅助放疗，但几个月后死于临床上看似大量腹腔出血的情况。本文简要回顾了关于归类为血管肉瘤或恶性血管内皮瘤的子宫肿瘤的文献。
