Gollard R, Kosty M, Bordin G, Wax A, Lacey C
Division of Hematology/Medical Oncology, Ida M. and Cecil H. Green Cancer Center, Scripps Clinic and Research Institute, La Jolla, CA 92037, USA.
Gynecol Oncol. 1995 Dec;59(3):412-22. doi: 10.1006/gyno.1995.9950.
Müllerian adenosarcomas of the uterus usually present as pedunculated endometrial masses in postmenopausal women with vaginal bleeding. Extraendometrial variants (originating in the ovary, adnexa, or myometrium) are much less common, and they tend to present at a more advanced stage due to their location. The sarcomatous portion of müllerian adenosarcoma can vary from low grade to very high grade and the clinical behavior of the tumors can be indolent or aggressive. We present two cases, one of which originated in the adnexa and the other in an apparent focus of uterine adenomyosis. These cases illustrate the difficulty of correct diagnosis and treatment.
子宫苗勒管腺肉瘤通常表现为绝经后阴道出血的绝经后女性的带蒂子宫内膜肿块。子宫外变体（起源于卵巢、附件或子宫肌层）则少见得多，由于其位置关系，它们往往在更晚期出现。苗勒管腺肉瘤的肉瘤部分可从低级别到非常高级别不等，肿瘤的临床行为可以是惰性的或侵袭性的。我们报告两例病例，其中一例起源于附件，另一例起源于子宫腺肌病的一个明显病灶。这些病例说明了正确诊断和治疗的困难。
