Orlov K K, Grigor'ev B A
Arkh Patol. 1990;52(9):62-5.
An observation of the uterine pregnancy combined with endometrial adenocarcinoma and uterine body endometriosis in a woman of 4.2 with the obesity of III degree, and hypertension is described. Chorion willi, decidual tissue, large pieces of the endometrium with decidual conversion of stroma and numerous monstrous closely packed glands with arrangement of nuclei in several rows and moderate mitosis are found histologically in the uterine curettage. Tumour cells formed at places solid bands with pseudocribrous structures. Uterus with its appendages was removed. Histologically reversible endometrial changes after the interrupted pregnancy are found with foci of an atypical glandular hyperplasia but without tumour elements. Endometriosis foci in the myometrium and a diffuse theca-cell hyperplasia in the ovaries are observed.
描述了一名42岁患有III度肥胖和高血压的女性，其子宫妊娠合并子宫内膜腺癌及子宫体子宫内膜异位症的情况。在刮宫组织的组织学检查中发现有绒毛膜、蜕膜组织、大片伴有间质蜕膜转化的子宫内膜，以及大量紧密排列的怪异腺体，细胞核呈几排排列且有中度有丝分裂。肿瘤细胞在某些部位形成具有假筛状结构的实性条索。切除了子宫及其附件。发现中断妊娠后子宫内膜有组织学上可逆的变化，伴有非典型腺体增生灶，但无肿瘤成分。观察到子宫肌层内有子宫内膜异位症病灶，卵巢有弥漫性卵泡膜细胞增生。
