内生型宫颈鳞癌误诊临床分析  

Clinical Analysis of Misdiagnosis of Endophytic Cervical Squamous Cell Carcinoma

作　　者：邓柳枝[1] 李梦熊[1] 李小毛[1] 

机构地区：[1]中山大学附属第三医院,广州510630

出　　处：《临床误诊误治》2015年第8期24-26,共3页Clinical Misdiagnosis & Mistherapy

摘　　要：目的探讨内生型宫颈鳞癌的临床特点和误诊原因,以提高对该病的认识和重视。方法对曾误诊的3例内生型宫颈鳞癌的临床资料进行回顾性分析。结果本组3例年龄分别为47、50和32岁,皆因不规则阴道流血于基层医院误诊为功能性子宫出血,给予相应治疗效果欠佳。3例经高危型宫颈人乳头瘤病毒(HPV)、诊断性刮宫术后病理及盆腔B超等检查均提示宫颈癌,后行宫颈组织病理学检查确诊为宫颈鳞癌,给予相应治疗,现生存2例,失访1例。结论内生型宫颈鳞癌因宫颈表面无明显赘生物,易被临床医生忽视。未能规律行宫颈细胞学或高危型HPV病毒筛查的宫颈癌患者易被漏诊或误诊,临床接诊此类患者时应更加重视对宫颈的检查。Objective To analyze the clinical features and misdiagnosis cause of endophytic cervical squamous cell car-cinoma in order to enhance awareness of reconstruction of the disease. Methods Clinical data of 3 cases misdiagnosed as endo-phytic cervical squamous carcinoma was analyzed retrospectively. Results 3 female patients, aged 32,,47 and 50 years old were misdiagnosed and treated ineffectively as dysfunctional uterine bleeding due to abnormal vaginal bleeding in some local rural hospitals. Later, cervical cancer was suggested by high-risk HPV examination, diagnostic curettage pathological, pelvic ultra-sound and then confirmed by cervical histological examination. 2 patients survived after surgery with radiotherapy and chemother-apy, and 1 patient was lost for follow-up. Conclusion Endophytic cervical squamous carcinoma tends to be ignored by clini-cians because of lack of obvious neoplasm on the surface of the cervix. Clinicians should pay close attention to inspecting the cer-vix of those women without regular cervical cytology screening or high-risk HPV examinations.

关 键 词：宫颈肿瘤 误诊 功能性子宫出血 

分 类 号：R737.33[医药卫生—肿瘤]