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8例恶性混合性苗勒氏瘤的临床病理与预后的探讨

STUDIES ON CLINICOPATHOLOGY AND PROGNOSIS OF 8 CASES OF MALIGNANT MIXED MULLERIAN TUMORS
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摘要 报告8例恶性混合性苗勒氏瘤,其中3例为同质型;5例为异质型。临床以绝经后阴道流血、排液为主要症状。子宫4例,宫颈3例,右卵巢1例。肿物多为息肉状或菜花状,且多伴有坏死。肿瘤浸润深度:轻度3例,中度3例,重度2例。8例均行全宫加双附件切除,2例术前加化疗,6例术后化疗。随访结果:5例死亡,2例健在,1例失访。其预后与肿瘤的浸润深度、范围及组织学类型密切相关。 Eight cases of malignant mixed mullerian tumor(MMMT) are reported in this paper. Of 8 Cases, 3 were of homologous stromal type, 5 of heterologous stromal type. The main clinical symptoms of the disease were postmenopausal bleeding and watery discharge. The tumors of 4 patients were located in the metra, 3 in the cervix and 1 in the right ovary. Most of the tumors presented polypous or cauliflower form,and accompanied by necroses. The degree of the neoplastic infiltration.3 cases were minor, 3 moderate and 2 severe. All of the patients received total hysterectomy and bilateral salpingo—oophorectomy,and among them, 2 had preoperative chemotherapy and 6 had postoperative chemotherapy. The results of the follow—up survey were as follows:of the 8 patients, 5 died,2 survived and 1 was missing. The prognosis is closely related to the degree of the neoplastic infiltration ,the range and the histological type of the tumor.
出处 《临沂医学专科学校学报》 1993年第1期9-11,共3页 Journal of Linyi Medical College
关键词 混合性 苗勒氏瘤 病理学 临床 Malignant mixed mtillerian tumor (MMMt) Pathology ,Clinical
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