Sakamoto A
Department of Pathology, Faculty of Medicine, University of Tokyo, Japan.
Am J Obstet Gynecol. 1991 Jul;165(1):198-201. doi: 10.1016/0002-9378(91)90251-l.
A total of 128 patients with adenomyosis were examined clinically and histologically to investigate the pathogenesis of subserosal adenomyosis. In this study 15 (11.7%) cases were classified as subserosal adenomyosis on the basis of localization of heterotopic endometrial tissues that consisted of glands and stroma. These were subclinical and incidental. The uterus was not enlarged in this type of adenomyosis. Distribution of the ectopic tissues and the patients' mean age at the time of the hysterectomy suggest that subserosal adenomyosis may develop as a variant of pelvic endometriosis.
对128例子宫腺肌病患者进行了临床和组织学检查，以研究浆膜下子宫腺肌病的发病机制。在本研究中，15例（11.7%）病例根据由腺体和间质组成的异位子宫内膜组织的定位被分类为浆膜下子宫腺肌病。这些病例为亚临床和偶然发现。在这类子宫腺肌病中，子宫未增大。异位组织的分布以及患者子宫切除时的平均年龄表明，浆膜下子宫腺肌病可能是盆腔子宫内膜异位症的一种变体。
