生殖期平滑肌瘤手术材料的回顾性分析

Mindia Iobashvili, Irma Jikia, Tamuna Gogia, L. Bekauri, Marina Phailodze
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摘要

平滑肌瘤是一种病因不明的良性子宫肿瘤。平滑肌瘤是由过量的类固醇、凋亡机制的破坏和局部生长因子刺激的。我们回顾性分析了子宫体女性生殖期平滑肌瘤的手术材料。研究表明:子宫壁内平滑肌瘤的发病率急剧增加;组织学结构特征为增生性、复发性和潜伏性平滑肌瘤;细胞外基质的活性产物,它不仅在平滑肌瘤生长方面很重要,而且很可能是限制肿瘤在子宫肌体中增殖自由不受控制的扩散和抑制同化过程的因素之一;材料的回顾性分析为寻找平滑肌瘤发展的分子机制提供了基础。获得的结果将对药物治疗的选择(在抑制肌细胞增殖过程,生长因子的表达和细胞凋亡的激活方面)具有重要意义。
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RETROSPECTIVE ANALYSIS OF OPERATIVE MATERIALS OF PATIENTS OF REPRODUCTIVE PERIOD WITH LEIOMYOMA
Leiomyoma is a benign tumor of unknown etiology of the uterus. Leiomyoma is stimulated by an excess of steroids, disruption of apoptotic mechanisms, and local growth factors.We conducted a retrospective analysis of the operative material with leiomyoma of the reproductive period of women with the uterine body. The study revealed: a sharp increase in the incidence of intramural leiomyoma; Histological structural features are characteristic of proliferative, recurrent, and latent leiomyomas; Active products of the extracellular matrix, which is important not only in terms of leiomyoma growth, but it is likely to be among the factors that limit the free uncontrolled spread of tumor proliferate in the uterine body muscle and inhibit the assimilation process; Retrospective analysis of the material provides a basis for the search for molecular mechanisms of leiomyoma development. The results obtained will be important for the selection of drug treatment (in terms of inhibition of myocyte proliferative processes, expression of growth factors and activation of apoptosis).
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