摘要：目的：探讨子宫平滑肌肿瘤临床病理特征。方法: 对652例子宫平滑肌肿瘤的临床病理资料进行回顾性分析。结果：①子宫平滑肌肿瘤发生的最大年龄68岁，最小年龄21岁，平均年龄43.2岁，高发年龄41～50岁。②子宫平滑肌肿瘤可同时与子宫内膜增生、腺肌病、卵巢各种囊肿及多种良恶性病变并存。③在652例子宫平滑肌肿瘤中，普通平滑肌瘤628例，恶性潜能未定的平滑肌肿瘤23例，平滑肌肉瘤1例。结论：①子宫平滑肌瘤常见，可同时与子宫、卵巢各种良恶性病变并存。②核分裂数是诊断良恶性子宫平滑肌肿瘤的重要指标，但不是唯一指标，应综合细胞异型性、边缘浸润、临床资料而作出诊断。

    关键词：子宫肿瘤；平滑肌肉瘤；临床病理学

    Analysis the Clinical Pathology of 652 Cases Uterine Smooth Muscle Tumors

    ZHENG Ze-qin,QIU Yue-yan,CHEN Bin

    (The Second People’s Hospital of Shantou,Guangdong Shantou 515011,China)

    Abstract： Objective： To investigate the clinicoal pathology of uterine smooth muscle tumors.Method： Clinical and pathological data of 652 cases of uterine smooth muscle tumors were analyzed retrospectively. Result：①The oldest who suffers from uterine leiomyoma is 68 years old,the youngest is 21,the mean age is 43.2.And the ones whose age is between 41 and 50 have the highest happening rate.②Uterine smooth muscle may coexist with other diseases such as endometrial hyperplasia,ademomyosis,all kinds of cysts of ovary,all kinds of benign or malignant tumours et al.③Among 652 cases of the tumors,there were 628 cases of usual leiomyoma,23 smooth muscle tumor of uncertain malignant potential and 1 leiomyosarcoma. Conclusion：① The uterine leiomyoma is easy to be found and may coexist with all kinds of disease of uterus and ovary.②Nuclear mitotic activity is an important but not sole criterion in the diagnosis of benign or malignant uterine smooth muscle tumors;the combination of cellular atypia,margin infiltration,clinical data should also be taken into consideration. ......