Clement P B
Department of Pathology, Vancouver General Hospital, British Columbia, Canada.
Arch Pathol Lab Med. 1988 May;112(5):566-8.
The clinical and pathologic features of a case of postoperative spindle-cell nodule within the endometrium are reported, a lesion hitherto undescribed in this site. The nodule was found in the hysterectomy specimen from a 75-year-old woman, 2 1/2 weeks after a dilatation and curettage had revealed a well-differentiated endometrial adenocarcinoma. On histologic examination, the lesion consisted of a densely cellular proliferation of mitotically active spindle cells, which was initially interpreted as sarcoma. Postoperative spindle-cell nodules of the genitourinary tract are reparative proliferations of fibroblastic-type cells that should be distinguished from sarcoma on histologic examination.
本文报告了一例子宫内膜术后梭形细胞结节的临床及病理特征，该病变此前在该部位尚未见描述。该结节是在一名75岁女性的子宫切除标本中发现的，在刮宫显示为高分化子宫内膜腺癌2.5周后进行了子宫切除术。组织学检查显示，该病变由有丝分裂活跃的梭形细胞密集增殖组成，最初被诊断为肉瘤。泌尿生殖道术后梭形细胞结节是成纤维细胞型细胞的修复性增殖，在组织学检查中应与肉瘤相鉴别。
