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子宫平滑肌瘤,系常见之肿瘤,占成年妇女的20%～25%。关于使用口服避孕药OC或接受孕激素治疗的妇女,其肌瘤发生急性出血或出血性坏死已有描述。作者报告5例经组织学确定伴有多灶性出血及细胞增生之子宫平滑肌瘤。并命名为“卒中性平滑肌瘤。”5例均曾使用激素类口服避孕药。作者认为,这些出血性平滑肌瘤,特征不够明确,与所谓肌瘤的“红色变性”也不易鉴别。本文从临床病理研究出发,目的在提醒临床及病理工作者,对此疾患重视。患者年龄为20～48岁(平均35岁)。3例经孕妇,1例未孕妇,1例产科病历不详。最常见的症
Uterine leiomyoma is a common tumor, accounting for 20% to 25% of adult women. Regarding the use of oral contraceptives OC or women receiving progestin therapy, the occurrence of acute hemorrhage or hemorrhagic necrosis of fibroids has been described. The authors report 5 cases of histologically confirmed with multifocal hemorrhage and cell proliferation of uterine leiomyomas. And named “stroke leiomyoma.” 5 cases have used hormonal oral contraceptives. The author believes that these hemorrhagic leiomyoma, the characteristics are not clear enough, and the so-called fibroids “red degeneration” is not easy to identify. This article from the clinicopathological study, the purpose of reminding clinicians and pathologists, the disease attention. Patients were 20 to 48 years (mean, 35 years). 3 cases of pregnant women, 1 case of pregnant women, 1 case of obstetric medical records is unknown. The most common disease