子宫腺瘤样瘤：一项包含五例病例的研究，其中三例为罕见的平滑肌瘤样腺瘤变体。
Uterine Adenomatoid Tumors: A Study of Five Cases Including Three Cases of the Rare Leiomyoadenomatoid Variant.
作者信息
Ranjan Richa, Singh Lavleen, Nath Devajit, Sable Mukund N, Malhotra Neena, Bhatla Neerja, Kumar Sunesh, Datta Gupta Siddhartha
机构信息
Department of Pathology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029 India.
Department of Obstetrics & Gynecology, All India Institute of Medical Sciences, New Delhi, 110029 India.
出版信息
J Obstet Gynaecol India. 2015 Jul;65(4):255-8. doi: 10.1007/s13224-014-0557-9. Epub 2014 Aug 29.
OBJECTIVE
Adenomatoid tumor is a benign neoplasm of mesothelial origin encountered most often in the male and female genital tracts. This tumor has a distinct morphology and is characterized by anastomosing and variably sized tubules lined by epithelioid and flattened cells. Only 4 cases of the extremely rare leiomyoadenomatoid variant are on record. We report 5 cases of adenomatoid tumor including 3 cases of leiomyoadenomatoid tumor of the uterus, which is an extremely rare variant of adenomatoid tumor, difficult to recognize on morphology.
METHOD
A detailed histopathological review of all the uterine tumor diagnosed as fibroid and adenomatoid tumor over the period of 4 years was done.
RESULTS
A total of 5 cases of adenomatoid tumor were documented including 3 cases of leiomyoadenomatoid variant.
CONCLUSION
Leiomyoadenomatoid variant of adenomatoid tumor often missed both on imaging and histopathological examination and hence needs to be recognized as a distinct morphological entity.
目的
腺瘤样瘤是一种起源于间皮的良性肿瘤，最常见于男性和女性生殖道。该肿瘤具有独特的形态，其特征为相互吻合且大小不一的小管，内衬上皮样细胞和平扁细胞。仅有4例极为罕见的平滑肌瘤样腺瘤样瘤变体的病例记录在案。我们报告了5例腺瘤样瘤病例，其中包括3例子宫平滑肌瘤样腺瘤样瘤，这是腺瘤样瘤的一种极为罕见的变体，在形态学上难以识别。
方法
对4年间诊断为纤维瘤和腺瘤样瘤的所有子宫肿瘤进行了详细的组织病理学回顾。
结果
共记录了5例腺瘤样瘤病例，其中包括3例平滑肌瘤样腺瘤样瘤变体。
结论
腺瘤样瘤的平滑肌瘤样腺瘤样瘤变体在影像学和组织病理学检查中常常被漏诊，因此需要被视为一种独特的形态学实体。
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