Zhonghua yi xue za zhi · 2012
[Atypical polypoid adenomyoma of the uterus: an analysis of 17 cases].
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CHEN Bo, ZHU Lan, LANG Jing-he
Аннотация
OBJECTIVE: To investigate the clinical characteristics, diagnosis and treatment of Atypical Polypoid Adenomyoma of the uterus (APA).
METHODS: A retrospective study was made of 17 patients with APA, who were hospitalized at Peking Union Medical College Hospital from 2003 to 2010. Those patients' clinical characteristics, diagnosis, and treatments are analyzed respectively. The patients ranged from 19 to 53 (median 39) years old, Most of them (15/17) are during child-bearing period. There was one patient with infertility, two of the patients were postmenopausal.
RESULTS: Fourteen cases had irregular vaginal bleeding clinically. Most of the pathology were polypous, which is more than 1 cm. Fifteen cases were characteristically polypoid, among which there were one case with multi polypoid and one case was extensive. Eight cases were located in the uterine cavity. Six cases were located in the lower uterine segment. Three cases were located in cervix. None of the cases were diagnosed, while all of them were diagnosed by pathology after primary surgical. Fifteen patients had polypectomy (among them, five patients took drug therapy after the surgical), while the remaining two patients had hysterectomy. Two of the five patients, who took drug therapy, were pregnant. One patient was deteriorated with carcinoma of endometrium.
CONCLUSION: Although most cases of APA were benign, a few cases were associated with low malignant potential of recurrence. The treatment should depend on the age and reproductive desire of patient. And long-term follow-up is suggested.
METHODS: A retrospective study was made of 17 patients with APA, who were hospitalized at Peking Union Medical College Hospital from 2003 to 2010. Those patients' clinical characteristics, diagnosis, and treatments are analyzed respectively. The patients ranged from 19 to 53 (median 39) years old, Most of them (15/17) are during child-bearing period. There was one patient with infertility, two of the patients were postmenopausal.
RESULTS: Fourteen cases had irregular vaginal bleeding clinically. Most of the pathology were polypous, which is more than 1 cm. Fifteen cases were characteristically polypoid, among which there were one case with multi polypoid and one case was extensive. Eight cases were located in the uterine cavity. Six cases were located in the lower uterine segment. Three cases were located in cervix. None of the cases were diagnosed, while all of them were diagnosed by pathology after primary surgical. Fifteen patients had polypectomy (among them, five patients took drug therapy after the surgical), while the remaining two patients had hysterectomy. Two of the five patients, who took drug therapy, were pregnant. One patient was deteriorated with carcinoma of endometrium.
CONCLUSION: Although most cases of APA were benign, a few cases were associated with low malignant potential of recurrence. The treatment should depend on the age and reproductive desire of patient. And long-term follow-up is suggested.