子宫内膜癌合并子宫内膜异位症的临床病理分析.docx

子宫内膜癌合并子宫内膜异位症的临床病理分析[摘要]目的通过对子宫内膜癌合并子宫内膜异位症的临床病理分析探讨子宫内膜异位症和子宫内膜癌的内在联系。方法将2011年3月～2012年9月在我院治疗过的患有子宫内膜癌合并子宫内膜异位症的病例数34例作为组1同时将患有子宫内膜癌但未合并子宫内膜异位症的78例作为组2将仅患有子宫内膜异位症的44例作为组3。根据临床病理特征和年龄分布从而对三组进行对照分析。结果组1和组3的病理分期相对于组2的病理分期均较低且患者年龄均趋向于年轻化三组的年龄分布以及手术病理分期经比较差异有统计学意义（P<0.05）。结论当病例同时患有子宫内膜异位症时病例趋向于年轻化子宫内膜癌的病理分期较早细胞分化较高同时肌层浸润浅病情恢复快。[关键词]子宫内膜癌；子宫内膜异位症[中图分类号]R711.71[文献标识码]B[文章编号]1673-9701（2013）07-0139-02ClinicalpathologyanalysisofendometrialcancercombinedwithendometriosisHEShuzhenYANHonglianLINShaomeiDepartmentofGynecologyShundeDistrictMaternalandChildHealthHospitalofFoshanCityinGuangdongProvinceFoshan528300China[Abstract]ObjectiveToexplorewhetherendometriosisisoneoftheriskfactorsforendometrialcancerthroughanalysisofpathologyofendometrialcancercombinedwithendometriosis.MethodsChosed34casesofthesepatientswhosufferedfromendometrialcancercombinedwithendometriosisandhavebeentreatedatourhospitalfromMarch2011toSeptember2012setthemasgrouponeandchose78casesoftheseendometrialcancerpatientsandsetthemasgrouptwoandthese44casesofendometriosispatientsasgroupthree.Analyzedandcomparedthesethreegroupsaccordingtotheirclinicalpathologicalfeaturesandagedistributions.ResultsGroupone'sandgroupthree'spathologicalstagingswerelowerthangrouptwo'sandthesetwogroups'patientstendtobeyoungthesethreegroups'agedistributionandsurgerypathologicalstaginghavestatisticaldifferencesafterdetections（P<0.05）.ConclusionForthesepatientswhosufferfromendometriosistheytendtobeyoungandtheirendometrialcancer'spathologicalstagingisearliercelldifferentiationishigherandmusclelayerinfiltrationismoreshallowandtheyrecoverquicker.[Keywords]Endometrialcancer；Endometriosis子宫内膜癌是最常见的妇科恶性肿瘤之一约占妇女所患癌症的6%。现代研究表明环境中长期以及不适宜的雌激素刺激可明显地伴随子宫内膜癌发生率的升高[1]。另一方面子宫内膜异位症也是在妇科中较为易见的良性肿瘤并且两者常