Sugiyama T, Ohta S, Nishida T, Okura N, Tanabe K, Yakushiji M
Department of Obstetrics and Gynecology, Kurume University School of Medicine, 67 Asahi-machi, Kurume City, 830-0011, Japan.
Gynecol Oncol. 1998 Oct;71(1):141-4. doi: 10.1006/gyno.1998.5137.
Atypical polypoid adenomyoma (APA) most frequently presents as an endometrial polyp in premenopausal women and is believed to follow a benign course. In hysterectomy specimens from postmenopausal Japanease women, the endometrium contained an APA with an area of endometrial adenocarcinoma. A convincing transition zone between the APA and the adenocarcinoma was seen in our cases, suggesting that APA may develop into endometrial adenocarcinoma in postmenopausal women.
非典型息肉样腺肌瘤（APA）在绝经前女性中最常表现为子宫内膜息肉，一般认为其病程呈良性。在绝经后日本女性的子宫切除标本中，子宫内膜存在一个伴有子宫内膜腺癌区域的APA。在我们的病例中可见APA与腺癌之间有一个令人信服的过渡区，提示在绝经后女性中APA可能发展为子宫内膜腺癌。
