宫颈癌58例临床病理分析

Clinicopathologic analysis of 58 cases of cervical cancer

目的:通过对58例宫颈癌患进行病理分析,总结宫颈癌的病理特点,为临床诊治疾病提供可靠的参考依据,提高患者的生存率。方法:回顾性分析58例宫颈癌患者的临床资料,病理诊断采用WHO子宫体肿瘤组织分类(2003)标准。将全部病人按年龄划分为对照组和研究组,>35岁者为对照组(46例),≤35岁者为研究组(12例)。结果:2组鳞癌共计49例,占全部患者的84.5%(49/58),腺癌共计8例,占13.8%(8/58)。对照组≤Ⅱa期37例(80.4%),≥Ⅱb期7例(15.2%)。研究组≤Ⅱa期11例(91.7%),≥Ⅱb期1例(8.3%);2组分期差异有统计学意义(P≥0.05)。结论:宫颈癌主要分为鳞癌和腺癌2类,组织学诊断是宫颈病变诊断的金标准。临床临床分期越早,越有利于治疗方法的选择,患者的生活质量也将大大提高。

Objective：To summarizes the pathological features of cervical cancer , provide reliable reference to the clinical diagnosis＆nbsp;and treatment of relevant diseases , and thus help to improve the survival rate of patient through the pathological analysis of the 58 cases of cervical cancer patients .Methods：A retrospective analysis was carried out among 58 cases of cervical cancer patients with clinical data . The standard of WHO uterine tumor classification was adopted for pathological diagnosis .All patients were divided into control group and research group according to their ages , respectively, patients below 35 years of age were in the control group （46 cases）, and patients 35 years old and above were in the research group （12 cases）.Results：There were a total of 49 cases of squamous carcinoma , accounting for 84.5%of all patients （49/58）;there were a total of eight cases of adenomatous carcinoma , accounting for 13.8%（8/58）.In the con-trol group, 37 cases （80.4%）≤stage II a, and 7 cases （15.2%）≥stageⅡb.In the research group , 11 cases （91.7%）≤stageⅡa, 1 case （8.3%）≥stage Ⅱb;the staging difference of the two groups was statistically significant （P≥0.05）.Conclusion：Cervical cancer would be mainly divided into two types , namely, squamous carcinoma and adenomatous carcinoma .Histological diagnosis should be the gold standard for the diagnosis of cervical lesions .The sooner clinical staging would be conducted , the better the treatment be se-lected, and the more the patients＇life quality is promoted .