Ⅰ期子宫内膜癌冷冻诊断正确性的探讨  

Diagnostic accuracy of the frozen section for endometrial carcinoma of stage Ⅰ

作　　者：孙剑英[1] 刘伯宁[1] 

机构地区：[1]上海市第六人民医院妇产病理研究室,200233

出　　处：《上海医学》2001年第6期373-375,共3页Shanghai Medical Journal

摘　　要：目的　探讨Ⅰ期子宫内膜癌全子宫切除标本冷冻诊断的正确性。方法　对 1991年 1月～ 2 0 0 0年12月间Ⅰ期子宫内膜癌全子宫标本作冠状剖开的 49例 ,进行巨检、冷冻诊断及石蜡诊断 ,分析肿瘤组织学及其肌层浸润深度的符合率。结果　组织学类型的冷冻诊断及石蜡诊断完全一致 ;组织学分级的冷冻与石蜡诊断符合率 85 .71% ;肿瘤浸润肌层深度的巨检与冷冻诊断、冷冻与石蜡诊断的符合率分别为 73.47%和 89.80 %。结论　按冠状剖开子宫后 ,仔细选择取材部位 。Objective To explore the accuracy of frozen section of uterus specimen in stageⅠendometrial carcinoma. Methods There were 49 cases of stageⅠendometrial carcinoma during the period of January 1991 to December 2000 with coronal section, and to undergo gross, frozen section and paraffin section for diagnosis, The accordance and discrepancy in the results of tumor histology and invasive depth in myometrium were compared. Results The histological types by frozen section were exactly the same as those by paraffin section. The accurate rate in grading by frozen section was 85.71% when compared with paraffin section; The accordance rates in judging the invasive depth in myometrium between gross versus frozen section, frozen section versus paraffin section were 73.47% and 89.80% respectively.Conclusion To select the suspected site carefully will help to improve the diagnostic accuracy of frozen section in stageⅠendomertial carcinoma.

关 键 词：子宫内膜癌 组织学 肌层浸润 冷冻切片 诊断 

分 类 号：R737.33[医药卫生—肿瘤]