Richmond Abby M, Rohrer Andrew J, Davidson Susan A, Post Miriam D
University of Colorado, Department of Pathology, Aurora, CO, United States.
Denver Health Medical Center, Department of Obstetrics and Gynecology, Denver, CO, United States.
Gynecol Oncol Rep. 2016 Dec 14;19:34-38. doi: 10.1016/j.gore.2016.12.002. eCollection 2017 Feb.
•Endometrial stromal sarcoma (ESS) may have sex cord differentiation, usually focal.•Diagnosis of ESS is difficult when variant morphology predominates.•Prognosis differs between ESS and UTROSCT; therefore, distinction is critical.•Extensive tumor sampling is mandatory to identify neoplastic endometrial stroma.•Sex cord differentiation may be associated with endometrial hyperplasia.
•子宫内膜间质肉瘤(ESS)可能具有性索分化,通常为局灶性。
•当变异形态占主导时,ESS的诊断较为困难。
•ESS和子宫未分化肉瘤(UTROSCT)的预后不同;因此,鉴别至关重要。
•必须进行广泛的肿瘤取材以识别肿瘤性子宫内膜间质。
•性索分化可能与子宫内膜增生有关。