Aziz Omar, Giles John, Knowles Simon
Gynaecology Department, Yeovil District Hospital, Higher Kingston, Yeovil, Somerset BA21 4AT, UK.
Cases J. 2009 Jan 14;2(1):55. doi: 10.1186/1757-1626-2-55.
Endometrial stromal tumours with sex-cord-like elements were first described by Clement and Scully in 1976. The recent World Health Organisation classification 2003 recognises low grade stromal sarcoma and undifferentiated endometrial sarcoma.
A 62-year-old caucasian woman presented with recurrent postmenopausal bleeding. She underwent a diagnostic hysteroscopy which showed a large polyp on the posterior uterine wall. Polypectomy was performed and the histological report of the polyp showed a complex adenomatous lesion of uncertain malignant potential. She underwent a total abdominal hysterectomy and bilateral oophorectomy. The patient is asymptomatic at the time being, and is having annual check ups.
Total abdominal hysterectomy and bilateral ovarian oophorectomy is the best approach at this stage.These tumours should be considered as having an uncertain but low likelihood of recurrence. It is acknowledged that no extra uterine spread or distant metastases have been reported thus far.
伴有性索样成分的子宫内膜间质肿瘤最早由克莱门特和斯库利于1976年描述。2003年世界卫生组织最新分类认可了低级别间质肉瘤和未分化子宫内膜肉瘤。
一名62岁的白种女性出现绝经后反复出血。她接受了诊断性宫腔镜检查，结果显示子宫后壁有一个大息肉。进行了息肉切除术，息肉的组织学报告显示为具有不确定恶性潜能的复杂腺瘤性病变。她接受了全腹子宫切除术和双侧卵巢切除术。患者目前无症状，正在进行年度检查。
现阶段全腹子宫切除术和双侧卵巢切除术是最佳治疗方法。应认为这些肿瘤复发可能性低但不确定。目前公认尚未有子宫外扩散或远处转移的报道。
