Deligdish L, Loewenthal M
J Clin Pathol. 1970 Nov;23(8):676-80. doi: 10.1136/jcp.23.8.676.
The endometrium of 30 uteruses with myomata was studied at four standard sites. Glandular atrophy over a myoma or opposite a myoma was the most constant finding. At the margin of a myoma hyperplastic glands were frequently found, and distorted, elongated, or dilated glands were present at this site in half of all specimens. Other changes included adenomyosis and the separation of glands by muscle fibres from the basal layer of the endometrium. The coexistence of many of these findings in endometrial curettings can lead to the histological diagnosis of uterine myomata. Two factors, mechanical and hormonal, may be responsible and their mechanisms are discussed.
对30例患有肌瘤的子宫的子宫内膜在四个标准部位进行了研究。肌瘤上方或相对位置的腺体萎缩是最常见的发现。在肌瘤边缘经常发现增生性腺体，并且在所有标本的一半中，该部位存在扭曲、拉长或扩张的腺体。其他变化包括子宫腺肌病以及子宫内膜基底层的肌纤维将腺体分开。这些发现中的许多在子宫内膜刮除物中共存可导致子宫肌瘤的组织学诊断。可能有机械和激素两个因素起作用，并对其机制进行了讨论。
