子宫颈微偏腺癌的临床病理学研究  

A pathological study on minimal deviation adenocarcinoma of uterine neck

作　　者：陈健[1] 单慧敏[1] 王建红[1] 赵海鸥 

机构地区：[1]江苏省大丰市人民医院病理科,224100 [2]江苏省盐城市第一医院

出　　处：《江苏医药》2008年第9期908-909,共2页Jiangsu Medical Journal

摘　　要：目的探讨子宫颈微偏腺癌(MDAC)的临床病理特征、免疫表型、诊断和鉴别诊断。方法收集4例诊断为宫颈MDAC进行临床病理回顾性研究。结果患者年龄38～59岁,临床上大多表现为功能性子宫出血、水样白带、宫颈肥大、增粗变硬和腹胀。病理特征为腺体增生扭曲,有轻度异型性,浸润宫颈壁深层,纤维组织增生性间质反应。结论子宫颈MDAC少见,有侵袭性生物学行为,预后差,临床和病理上易被误诊为宫颈其他多种良性肿瘤及瘤样病变。Objective To study the clinicopathological cheracteristics, immunotypes, diagnosis and differencial diagnosis of minimal deviation adenoearcinoma（MDAC）. Methods The data of four cases with diagnosis of MDAC were analyzed retrospectively. Results The ages of four patients were 38 to 59 years old. The clinical menifastations were functional bleeding of the uterus, water-like leukorrhra, pachynsis of the uterine neck and abdominal distension. Hypertrophy and distortion of the gland tubers and deep invasion of the uterine neck were seen under microscopy. Conclusion MDAC is rarely seen clinically with biological invasion behaviour and worse prognosis, which is easily misdiagnosed as other benign tumors.

关 键 词：宫颈肿瘤 微偏腺癌 鉴别诊断 

分 类 号：R737[医药卫生—肿瘤]