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巴西女性子宫平滑肌瘤的组织病理学和数字形态计量学评估

Histopathological and Digital Morphometrical Evaluation of Uterine Leiomyoma in Brazilian Women.

作者信息

da Silva Ana Paula Fernandes, Mello Luciano de Albuquerque, Dos Santos Erlene Roberta Ribeiro, Paz Silvania Tavares, Cavalcanti Carmelita Lima Bezerra, de Melo-Junior Mario Ribeiro

机构信息

Programa de Pós-Graduação em Patologia, Universidade Federal de Pernambuco (UFPE), Campus Universitário, Avenida Morais Rego s/n, Cidade Universitária, 50670-910 Recife, PE, Brazil; Laboratório de Imunopatologia Keizo Asami (LIKA), UFPE, Recife, PE, Brazil.

Laboratório de Imunopatologia Keizo Asami (LIKA), UFPE, Recife, PE, Brazil.

出版信息

Obstet Gynecol Int. 2016;2016:2968410. doi: 10.1155/2016/2968410. Epub 2016 May 15.

DOI:10.1155/2016/2968410
PMID:27293441
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4884588/
Abstract

The current study aims to evaluate histopathological and digital morphometrical aspects associated with uterine leiomyomas in one hundred and fifty (150) patients diagnosed with leiomyoma. Uterine tissues were subjected to the histopathological and digital morphometric analyses of the interstitial collagen distribution. The analysis of medical records indicates that most of the women diagnosed with uterine leiomyomas (68.7%) are between 37 and 48 years old. As for the anatomic location of the tumors, approximately 61.4% of the patients had intramural and subserosal lesions. In 50% of the studied cases, the patients developed uterine leiomyomatosis (with more than eight tumors). As for the morphometric study, the average size of the interstitial collagen distribution held approximately 28.53% of the capture area, whereas it was of 7.43% in the normal tissue adjacent to the tumor. Another important aspect observed in the current study was the high rate of young women subjected to total hysterectomy, a fact that resulted in early and definitive sterility.

摘要

本研究旨在评估150例诊断为平滑肌瘤的患者子宫平滑肌瘤的组织病理学和数字形态学特征。对子宫组织进行间质胶原分布的组织病理学和数字形态学分析。病历分析表明,大多数诊断为子宫平滑肌瘤的女性(68.7%)年龄在37至48岁之间。至于肿瘤的解剖位置,约61.4%的患者有肌壁间和浆膜下病变。在50%的研究病例中,患者发生了子宫平滑肌瘤病(有八个以上肿瘤)。至于形态学研究,间质胶原分布的平均大小约占捕获区域的28.53%,而在肿瘤相邻的正常组织中为7.43%。本研究中观察到的另一个重要方面是接受全子宫切除术的年轻女性比例很高,这一事实导致了早期和永久性不育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26e4/4884588/ea1914007eae/OGI2016-2968410.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26e4/4884588/568bbf654fe5/OGI2016-2968410.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26e4/4884588/97e2c8b54ec8/OGI2016-2968410.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26e4/4884588/b0304a64316d/OGI2016-2968410.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26e4/4884588/ea1914007eae/OGI2016-2968410.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26e4/4884588/568bbf654fe5/OGI2016-2968410.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26e4/4884588/97e2c8b54ec8/OGI2016-2968410.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26e4/4884588/b0304a64316d/OGI2016-2968410.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26e4/4884588/ea1914007eae/OGI2016-2968410.004.jpg

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本文引用的文献

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The natural history of uterine leiomyomas: morphometric concordance with concepts of interstitial ischemia and inanosis.子宫平滑肌瘤的自然史:与间质缺血和营养缺乏概念的形态学一致性。
Obstet Gynecol Int. 2013;2013:285103. doi: 10.1155/2013/285103. Epub 2013 Sep 30.
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Uterine fibroids: pathogenesis and interactions with endometrium and endomyometrial junction.子宫肌瘤:发病机制及其与子宫内膜和内膜肌层交界处的相互作用
Obstet Gynecol Int. 2013;2013:173184. doi: 10.1155/2013/173184. Epub 2013 Sep 12.
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Prevalence of self-reported medical diagnosis of uterine leiomyomas in a Brazilian population: demographic and socioeconomic patterns in the Pro-Saúde Study.
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巴西人群中自我报告的子宫平滑肌瘤医学诊断患病率:健康促进研究中的人口统计学和社会经济模式
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Etiology, symptomatology, and diagnosis of uterine myomas.子宫肌瘤的病因、症状学及诊断
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