1例绝经后子宫内膜非典型息肉样腺肌瘤

Abstract
Figure/Table
References (15)
Related Citation (8)

Download: PDF (1027 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Endometrial atypical polypoid adenomyoma（APA) is a special type of endometrial polypoid lesion,which is relatively rare in clinical work.It mostly occurs in premenopausal women,and rarely occurs in postmenopausal women.Abnormal vaginal bleeding,pelvic pain,infertility,intrauterine mass,and vaginal discharge,etc.,are diagnosed by pathological examination.APA is a benign lesion with a low incidence rate,but it has the potential of recurrence and low-grade malignant transformation,which should be paid attention to.This study shared a case of a postmenopausal woman with irregular vaginal bleeding who was diagnosed with APA by hysteroscopy and underwent total hysterectomy plus double adnexectomy.Postmenopausal APA patients are relatively rare in clinical work,and there is still a lack of experience and unified treatment principles for the diagnosis and treatment of such patients.Clinicians share and provide reference.

Key words： Endometrial lesions Atypical polypoid adenomyoma Postmenopausal women Tamoxifen

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	ZOU Purun
	LIN Tong
	ZHOU Weihua

Cite this article:

ZOU Purun,LIN Tong,ZHOU Weihua. A case of atypical polypoid adenomyoma of the endometrium after menopause[J]. 中国当代医药, 2022, 29(7): 147-150.

URL:

https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I7/147

[1]	Mazur MT.Atypical polypoid adenomyomas of the endometrium[J].Am J Surg Pathol，1981，5（5）：473-482.
[2]	Raffone A，Travaglino A，Saccone G，et al.Management of women with atypical polypoid adenomyoma of the uterus：A quantitative systematic review[J].Acta Obstet Gynecol Scand，2019，98（7）：842-855.
[3]	Nakabayashi A，Takahashi N，Hashimoto K，et al.A case of rapidly-growing atypical polypoid adenomyoma which was histologically diagnosed before operation and removed by a laparoscopic resection[J].Taiwan J Obstet Gynecol，2018，57（1）：115-118.
[4]	张丽娟，吴霞，盛洁.宫颈非典型息肉样腺肌瘤10 例临床分析[J].中国医刊，2020，55（7）：734-736.
[5]	Jiang QY，Wang L，Wu RJ.A multiple perspectives on atypical polypoid adenomyoma of uterus[J].Gynecol Endocrinol，2013，29（7）：623-625.
[6]	Horn LC，Fischer U，H?ckel M.Polypoid endometrial adenomyoma in a postmenopausal woman，mimicking cervical cancer，associated with ovarian thecoma[J].Arch Gynecol Obstet，2002，267（2）：101-103.
[7]	Fukunaga M，Endo Y，Ushigome S，et al.Atypical polypoid adenomyomas of the uterus[J].Histopathology，1995，27（1）：35-42.
[8]	任健，周琦，张丽娟，等.宫腔镜治疗子宫内膜息肉样腺肌瘤48 例临床分析[J].国际妇产科学杂志，2020，47（6）：637-641.
[9]	朱一迪.他莫昔芬对绝经后乳腺癌术后患者子宫内膜的影响及宫腔镜的诊断价值[J].中国现代医生，2020，58（22）：16-19.
[10]	任健，吴霞.子宫内膜非典型性息肉样腺肌瘤诊治进展[J].临床军医杂志，2018，46（03）：373-375.
[11]	Travaglino A，Raffone A，Saccone G，et al.Immunophenotype of Atypical Polypoid Adenomyoma of the Uterus：Diagnostic Value and Insight on Pathogenesis[J].Appl Immunohistochem Mol Morphol，2020，28（8）：646-653.
[12]	Mikos T，Tsolakidis D，Grimbizis GF.Clinical presentation and management of atypical polypoid adenomyomas：Systematic review of the literature[J].Eur J Obstet Gynecol Reprod Biol，2019，236：14-21.
[13]	Biasioli A，Londero AP，Orsaria M，et al.Atypical polypoid adenomyoma follow-up and management：Systematic review of case reports and series and meta-analysis[J].Medicine（Baltimore），2020，99（26）：e20491.
[14]	魏宝宝，刘辉.子宫内膜非典型性息肉样腺肌瘤的临床分析[J].中华妇幼临床医学杂志（电子版），2020，16（4）：417-422.
[15]	周巧云，刘玉环，夏恩兰.子宫内膜非典型息肉样腺肌瘤24 例临床分析[J].国际妇产科学杂志，2017，44（2）：167-170.