子宫非典型息肉样腺肌瘤1例并文献复习
Atypical Polypoid Adenomyoma of the Uterus: A Case Report and Literature Review
DOI: 10.12677/acm.2026.161104, PDF,   
作者: 褚慧婷, 霍靖雯：青岛大学青岛医学院，山东 青岛；蒋长青, 韩 毅, 王 宁*：青岛大学附属医院妇科，山东 青岛
关键词: 子宫非典型息肉样腺肌瘤；临床病理；宫腔镜手术；治疗；随访；Atypical Polypoid Adenomyoma； Clinicopathology； Hysteroscopic Surgery； Treatment； Follow-Up
摘要: 非典型息肉样腺肌瘤(atypical polypoid adenomyoma, APA)是一种非常罕见的息肉样子宫肿瘤，由非典型子宫内膜腺体细胞和平滑肌间质成分组成，虽然为良性病变，但有进展成子宫内膜恶性肿瘤的风险，常合并子宫内膜癌或子宫内膜非典型增生。发病机制不详，临床多表现为异常子宫出血及不孕等，超声诊断难以与子宫内膜息肉及粘膜下肌瘤鉴别，主要依靠术后病理诊断，针对患者的年龄、生育要求及术后病理诊断，有不同的治理方案。根据现报道1例有生育要求的APA患者，通过系统性回顾相关文献，学习该病的主要诊疗方式。
Abstract: Atypical polypoid adenomyoma is a very rare polypoid uterine tumor composed of atypical endometrial glandular cells and smooth muscle stromal components. Although it is a benign lesion, it carries a risk of progression to endometrial malignancy and is often associated with endometrial carcinoma or endometrial atypical hyperplasia. The pathogenesis remains unclear. Clinically, it predominantly presents with abnormal uterine bleeding and infertility. Ultrasound examination is often insufficient to distinguish it from endometrial polyps or submucosal fibroids, and the diagnosis primarily relies on postoperative pathological examination. Treatment strategies vary based on the patient’s age, fertility desire, and postoperative pathological findings. Herein, we report a case of APA in a patient desiring fertility and summarize the main diagnostic and therapeutic approaches through a systematic review of the literature.
文章引用：褚慧婷, 霍靖雯, 蒋长青, 韩毅, 王宁. 子宫非典型息肉样腺肌瘤1例并文献复习[J]. 临床医学进展, 2026, 16(1): 784-789. https://doi.org/10.12677/acm.2026.161104

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