宫颈腺癌22例临床病理分析

Clinicopathologic analysis of 22 cases of cervical adenocarcinoma

目的分析总结宫颈腺癌的病理特征及临床特点,提高对该疾病的认识,减少漏诊。方法收集并分析22例宫颈腺癌患者的临床资料,复习全部病例的活检标本病理切片及手术切除标本病理切片。结果宫颈腺癌患者年龄更年轻,就诊时多数表现为大小不一的宫颈赘生物或包块,辅助检查均不能完全确诊,病理类型以黏液腺癌最多见。结论宫颈腺癌预后差,受其生长位置、形态特点及现有检查手段所限,不易早期发现,需要患者医生共同努力,力争早诊早治。

Objective To analyze the pathological and clinical features of cervical adenocarcinoma to improve people＇s awareness and avoid misdiagnosis of the disease. Methods We collected 22 cases from 2001 to 2010,and analyzed the clinical data of them.All the biopsy specimens and pathological sections were reviewed. Results The age of cervical adenocarcinoma patients tends to be younger.Cervical neoplasm or mass of different sizes are found in most patients.Assist examination was not able to diagnose completely.Cervical mucinous adenocarcinoma was the most frequently seen pathological type. Conclusions The prognosis of cervical adenocarcinoma is poor.Due to the pathological position,morphological features and limitations of existing inspection tools,it is hard to early detect cervical adenocarcinoma.Doctors and patients need to work together to achieve early detection and treatment.