Department of Obstetrics and Gynecology, The Second Affiliated Hospital of Zunyi Medical University, The intersection of Xinlong Avenue and Xinpu Avenue, Honghuagang District, Zunyi, Guizhou Province, 563000, China.
Department of Obstetrics and Gynecology, The Sixth People's Hospital of Chengdu, Chengdu, Sichuan, 610051, China.
BMC Womens Health. 2024 May 23;24(1):308. doi: 10.1186/s12905-024-03140-w.
Cervical mullerian adenosarcoma is a rare uterine sarcoma, especially in young women. Its pathological features are low-grade malignant tumors with bidirectional differentiation, and the degree of malignancy is similar to that of low-grade endometrial stromal sarcoma. This paper reports the case of a young asexual patient who has been closely followed up after tumor resection and has not had any recurrences.
A 20-year-old, young asexual woman was diagnosed with cervical mullerian adenosarcoma with sarcomatous overgrowth (MASO). Cervical tumor resection was performed after admission, and the resection margin was negative. After the operation, she refused to undergo secondary surgery due to fertility requirements and did not receive adjuvant treatment. The patient was closely followed up after the operation and has not yet relapsed.
A young woman with cervical MASO did not receive adjuvant treatment after cervical tumor resection. For women with fertility requirements, close follow-ups should be conducted after the operation to guard against tumor recurrence and radical tumor resection should be performed as early as possible after the patient no longer requires their fertility.
宫颈苗勒管腺肉瘤是一种罕见的子宫肉瘤，尤其在年轻女性中。其病理特征为低度恶性肿瘤，具有双向分化，恶性程度与低级别子宫内膜间质肉瘤相似。本文报道了 1 例年轻无性细胞瘤患者，在肿瘤切除后密切随访，未复发。
1 名 20 岁的年轻无性细胞瘤患者，诊断为宫颈苗勒管腺肉瘤伴肉瘤样过度生长（MASO）。入院后行宫颈肿瘤切除术，切缘阴性。术后患者因生育要求拒绝行二次手术，也未接受辅助治疗。术后患者密切随访，尚未复发。
年轻女性宫颈 MASO 行宫颈肿瘤切除术后未接受辅助治疗。对于有生育要求的女性，术后应密切随访，警惕肿瘤复发，在患者不再需要生育时尽早行根治性肿瘤切除术。
