子宫内膜间质肉瘤诊治进展

子宫内膜间质肉瘤是一种起源于子宫内膜间质细胞的恶性肿瘤，发病率低，无特殊临床症状和特征性的影像学表现。早期易误诊，其鉴别诊断包括平滑肌肿瘤，子宫内膜间质结节、腺肉瘤等，CD10可作为子宫内膜间质肉瘤的特异性标志物。筋膜外全子宫＋双附件切除术＋盆腔淋巴结切除为主要手术方式。辅助治疗包括化学治疗、放射治疗、激素治疗，孕激素受体阳性者使用激素治疗效果好。

The progress of diagnosis and treatment of endometrial stromal sarcoma

Endomelrial stromal sarcoma（ESS） is a malignant tumor originated in the endometrial stroma cells with low occurrence rate, no special characteristic clinical symptoms and imaging find- ings. It is easily misdiagnosed in the early stage. The differential diagnosis includes smooth muscle tumors, endometrial stromal nodule and adenosarcoma. CD10 can be used as a specific marker of ESS. Extrafascial hysterectomy and bilateral adnexectomy and pelvic lymphadenectomy will be used as the main operation method. Adiuvant therapy will include chemotherapy, radiation therapy, hormone therapy, and hormone therapy used for progesterone receptor positive patients will gain better treatment effect.