• 四川大學(xué)華西第二醫(yī)院婦產(chǎn)科，四川成都 610041;

目的：探討宮頸微小偏離性腺癌的診斷與治療。方法：按照WHO(2003)宮頸腺癌分類標(biāo)準(zhǔn)，回顧性分析我院收治的8例宮頸微小偏離性腺癌的臨床病理資料。結(jié)果：宮頸微小偏離性腺癌占同期收治宮頸浸潤腺癌的4.73％，臨床表現(xiàn)為水樣白帶和/或生殖道出血、宮頸肥大變硬和贅生物，陰道B超檢查示宮腔積液，宮頸細(xì)胞學(xué)診斷較困難，常需深部活檢組織診斷。結(jié)論：診斷應(yīng)結(jié)合臨床表現(xiàn)，影像學(xué)檢查，宮頸細(xì)胞學(xué)。當(dāng)高度懷疑時應(yīng)取深部組織或?qū)m頸錐切組織診斷，早期診治預(yù)后較好。

引用本文： 易莉莎,陳瑩瑩,王文翔,郄明蓉. 宮頸微小偏離性腺癌臨床病理分析(附8例報告). 華西醫(yī)學(xué), 2009, 24(2): 334-336. doi: 復(fù)制

版權(quán)信息： ?四川大學(xué)華西醫(yī)院華西期刊社《華西醫(yī)學(xué)》版權(quán)所有，未經(jīng)授權(quán)不得轉(zhuǎn)載、改編

1. Gilks CB，Young RH，Auguirre P，Delellis RA，Scully RE.Adenomamalignum(minimal deviation adenocarcinoma)of the uterine cervix：A clinicopathological and immunohistochemical analysis of 26 cases[J].Am J Surg Pathol，1989，13：717-729..
2. 張穎，王慶一.PeutzJeghers綜合征伴宮頸惡性腺瘤及雙側(cè)卵巢環(huán)狀小管性索腫瘤一例[J].中華病理學(xué)雜志，2006，35：761-762..
3. Kazuko Itoh，Toshihiko Toki，Shigeki Shiohara.A comparative analysis of cross sectional imaging techniques in minimal deviation adenocarcinoma of the uterine cervix[J].Br J Obstet Gynecol，2000，107：1158-1163..
4. Sakae Hata，Yoshiki Mikami，Toshiaki Manabe.Diagnostic Significance of Endocervical Glandular Cells With “GoldenYellow”Mucin on Pap Smear[J].Diagn Cytopathol，2002，27：80-84..
5. Kuniko Utsugi，Yasuo Hirai，Nobuhiro Takeshima，et al.Utility of the Monoclonal Antibody HIK1083 in the Diagnosis of Adenoma Malignum of the Uterine Cervix[J].Gynecol Oncol，1999，75：345-348..
6. Yasuo Hirai，Nobuhiro Takeshima，Atsuko Haga，et al.A Clinicocytopathologic Study of Adenoma Malignum of the Uterine Cervix[J].Gynecol Oncol，1998，70，219-223..
7. Shinji Sato，Kiyoshi Ito，Ryo Konno，et al.Adenoma Malignum Report of a Case with Cytologic and Colposcopic Findings and Immunohistochemical Staining with Antimucin Monoclonal Antibody HIK1083[J].Acta Cytol，2000，44：389-392..
8. Tomoko Gotoh，Yoshihiro Kikuchi，Masashi Takano，et al.An Extremely Rare Case of Adenoma Malignum with Large Cystic Tumor Which Resulted in Urinary Obstruction[J].Gynecol Oncol，2002，84：339-343..
9. 連麗娟，楊佳欣，吳郁.宮頸其他惡性腫瘤[M]//連麗娟.林巧稚婦科腫瘤學(xué).第4版.北京：人民衛(wèi)生出版社，2006：403-404..
  1. 1. Gilks CB，Young RH，Auguirre P，Delellis RA，Scully RE.Adenomamalignum(minimal deviation adenocarcinoma)of the uterine cervix：A clinicopathological and immunohistochemical analysis of 26 cases[J].Am J Surg Pathol，1989，13：717-729..
  2. 2. 張穎，王慶一.PeutzJeghers綜合征伴宮頸惡性腺瘤及雙側(cè)卵巢環(huán)狀小管性索腫瘤一例[J].中華病理學(xué)雜志，2006，35：761-762..
  3. 3. Kazuko Itoh，Toshihiko Toki，Shigeki Shiohara.A comparative analysis of cross sectional imaging techniques in minimal deviation adenocarcinoma of the uterine cervix[J].Br J Obstet Gynecol，2000，107：1158-1163..
  4. 4. Sakae Hata，Yoshiki Mikami，Toshiaki Manabe.Diagnostic Significance of Endocervical Glandular Cells With “GoldenYellow”Mucin on Pap Smear[J].Diagn Cytopathol，2002，27：80-84..
  5. 5. Kuniko Utsugi，Yasuo Hirai，Nobuhiro Takeshima，et al.Utility of the Monoclonal Antibody HIK1083 in the Diagnosis of Adenoma Malignum of the Uterine Cervix[J].Gynecol Oncol，1999，75：345-348..
  6. 6. Yasuo Hirai，Nobuhiro Takeshima，Atsuko Haga，et al.A Clinicocytopathologic Study of Adenoma Malignum of the Uterine Cervix[J].Gynecol Oncol，1998，70，219-223..
  7. 7. Shinji Sato，Kiyoshi Ito，Ryo Konno，et al.Adenoma Malignum Report of a Case with Cytologic and Colposcopic Findings and Immunohistochemical Staining with Antimucin Monoclonal Antibody HIK1083[J].Acta Cytol，2000，44：389-392..
  8. 8. Tomoko Gotoh，Yoshihiro Kikuchi，Masashi Takano，et al.An Extremely Rare Case of Adenoma Malignum with Large Cystic Tumor Which Resulted in Urinary Obstruction[J].Gynecol Oncol，2002，84：339-343..
  9. 9. 連麗娟，楊佳欣，吳郁.宮頸其他惡性腫瘤[M]//連麗娟.林巧稚婦科腫瘤學(xué).第4版.北京：人民衛(wèi)生出版社，2006：403-404..