子宫肉瘤的临床诊断研究进展

Research Progress in Clinical Diagnosis of Uterine Sarcoma

摘要: 子宫肉瘤是一种少见的、威胁较大的妇科恶性肿瘤，其发病率逐年上升，具有早期诊断困难，恶性程度高，侵袭性强，复发率高，预后差等特点。由于缺乏具有早期临床诊断意义的影像特征和肿瘤标记物，且在病变早期难以获得明确的肿瘤组织病理标本，因此在诊断上存在一定的难度，也容易出现误诊的情况。因此，目前子宫肉瘤的术前临床诊断仍然是个难题。本文概述子宫肉瘤从流行病学特点、临床表现、实验室检查、影像学及病理学等方面的临床诊断指标，结合多种指标综合分析有助于子宫肉瘤临床诊断的手段和方法。

Abstract: Uterine sarcoma is a rare and threatening gynecological malignant tumor. Its incidence rate is in-creasing year by year. It is characterized by difficult early diagnosis, high malignancy, strong inva-sion, high recurrence rate, and poor prognosis. Due to the lack of imaging features and tumor markers with early clinical diagnostic significance, and the difficulty in obtaining clear pathological specimens of tumor tissue in the early stages of the disease, there are certain difficulties in diagno-sis and misdiagnosis is also prone to occur. Therefore, the preoperative clinical diagnosis of uterine sarcoma remains a challenge at present. This article provides an overview of clinical diagnostic in-dicators for uterine sarcoma from the perspectives of epidemiological characteristics, clinical mani-festations, laboratory examinations, imaging, and pathology. Combined with multiple indicators, comprehensive analysis is helpful in the clinical diagnosis of uterine sarcoma.