Parent B, Huynh V B
J Gynecol Obstet Biol Reprod (Paris). 1985;14(5):575-82.
Mixed malignant Müllerian tumours have an epithelial component and a connective tissue component both of which are malignant. The exact nature of each gives rise to a large number of clinical varieties and that has given rise to a confusing nomenclature. All have in common that they occur after the menopause and that they appear to be banal but that their prognosis is awful. The frequency of these tumours seems to be increasing. It is essential to recognise them because their treatment has to be more profound than that carried out for endometrial adenocarcinoma. The initial treatment of the lesions is by surgery and radiotherapy. Chemotherapy is to be reserved to improve the prognosis which itself is linked to the amount of distant metastases.
混合性恶性苗勒管肿瘤有上皮成分和结缔组织成分,两者均为恶性。每种成分的确切性质导致了大量的临床类型,这也造成了命名上的混乱。它们的共同之处在于发生于绝经后,看似普通但其预后很差。这些肿瘤的发病率似乎在上升。必须认识到它们,因为其治疗要比子宫内膜腺癌的治疗更为深入。病变的初始治疗是手术和放疗。化疗用于改善预后,而预后本身与远处转移的程度有关。