子宫肌瘤与子宫内膜癌PPT.ppt

子宫肌瘤Leiomyoma of uterus(Fibromyoma, Fibroid, Myoma);目的和要求;概述 (General Considerations);发生机理 (Pathogenesis);巨检(Gross examination) ?假包膜 (pseudocapsule) ?buff-colored, rounded smooth, usually firm. ;分类 Classified by anatomic location;肌瘤变性(Secondary changes) —肌瘤失去其原有典型的结构时称肌瘤变性 —常见的变性 玻璃样变(Hyaline degeneration):最常见 囊样变(Cystic ?) 红色变(red ?) 钙化(degeneration with calcification) 肉瘤变(sarcomatous change);临床表现 (Clinical findings);1、月经改变(abnormal uterine bleeding) —最常见、最重要的症状（the most common and the most important manifestation ） —表现：月经过多,经期延长;持续性或不规则阴道流血或脓血性排液等 —主要见于粘膜下肌瘤及大的肌壁间肌瘤 浆膜下肌瘤及小的肌壁间肌瘤:无明显改