宫颈微偏腺癌临床病理形态学特征及诊断要点  

Clinico-pathology study of minimal deviation adenocarcinoma of cervix uteri

作　　者：刘风军[1] 

机构地区：[1]山东省千佛山医院病理科,山东济南250014

出　　处：《实用医药杂志》2004年第7期581-582,584,共3页Practical Journal of Medicine & Pharmacy

摘　　要：目的阐明宫颈微偏腺癌的病理形态学特征及诊断要点。方法报道1例宫颈微偏腺癌,结合文献对本病的临床病理特征进行探讨。结果宫颈异常增大,活检腺体大小不一,形状怪异如尖角突出等,细胞异型不明显,腺体周围间质有水肿及促结缔组织反应。结论宫颈微偏腺癌是一种罕见的高分化腺癌,镜下腺体形态不规则、深部浸润及特异性间质反应均提示该病的存在,免疫组化检测有助于该病的诊断。Objective To investigate the pathomorphologic feature and diagnosis of minimal deviation adenocarcinoma(MDA).Methods A case of minimal deviation adenocarcinoma was reported and the relative literatures were reviewed.Results Cervical hypertrophy was observed,and the biopsy glands were different in size and shape,but there was no obvious atypia with the cells.Interstitisl edema and reaction of connective tissue was found around the glands.Conclusions MDA is and extremely rare,and well-differentiated adenocarcinoma,which can be confused with a variety of benign mimics.Microscopically,the glands was characterized by irregular shapes,deep infiltration and specific interstitial reaction.Immunohistochemistry may be useful in the diagnosis of MDA.

关 键 词：宫颈微偏腺癌 临床病理学 诊断 

分 类 号：R737.33[医药卫生—肿瘤] R361[医药卫生—临床医学]