Hofmann D, Noeske K, Schoen U
Geburtshilfe Frauenheilkd. 1981 Jul;41(7):478-81. doi: 10.1055/s-2008-1037287.
The rarely occurring disease of endolymphatic stromal myosis is discussed by means of an impressive case. The cells of this semimalignant tumour resemble those of the endometrium, but it is not clear whether this tumour can be derived histogenetically from the endometrium or from the cells of the duct of Müller (ductus paramesonephricus) or from pericytal cells. The histological pattern of the tumour, which is characterized by the uniformity of small spindle-like oval cells without remarkable mitotic activity, and by a lack of atypical criteria, does not permit any prognosis in respect of its clinical behaviour. According to the rare references in literature, the clinical course is usually protracted with occasional occurrence of metastases and relapses. The therapy consists of radiotherapy and administration of progesterone. The case described in this article is a clinically malignant one because of disseminated metastases and relapse following initially successful therapy.
通过一个令人印象深刻的病例探讨了罕见的内淋巴间质肌瘤病。这种半恶性肿瘤的细胞类似于子宫内膜细胞，但尚不清楚该肿瘤在组织发生学上是源自子宫内膜、苗勒管（副中肾管）细胞还是周细胞。肿瘤的组织学模式以小纺锤状椭圆形细胞的均匀性为特征，无明显的有丝分裂活性，且缺乏非典型标准，无法对其临床行为进行任何预后判断。根据文献中罕见的记载，临床病程通常迁延，偶尔会发生转移和复发。治疗方法包括放疗和使用孕激素。本文所述病例因最初治疗成功后出现广泛转移和复发，在临床上属于恶性病例。
