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子宫淋巴管瘤1例

李尚明,王增状

ACTA ACADEMIAE MEDICINAE QINGDAO UNIVERSITATIS（2006）

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Abstract
淋巴管瘤多发生于头颈部,也可见于肺、胃肠道、肠系膜、脾、肝和骨等,发生于子宫较罕见.现将我院收治1例报告如下. 病人,女,40岁.因痛经4年,阴道大量流血伴头晕、心悸20 d人院.行子宫次全切除术.术后病理检查:子宫大小13.0 cm×11.0 cm×8.5 cm,肌壁增厚,最厚处5 cm,旋涡状,肌束间散在小腔,充满暗红色液体,肌壁间见一包块,直径7.5 cm,无包膜,界限欠清,切面灰白色,编织状,质地韧.镜下见肿瘤内密集小淋巴管,管腔不规则,部分管壁突入管腔,腔内有淋巴液,无红细胞,衬以扁平内皮细胞,腔周有结缔组织及平滑肌组织相隔.病理诊断:子宫肌腺病,子宫肌层淋巴管瘤.
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