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非典型腺细胞在宫颈细胞学检查中临床分析 被引量:1

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摘要 目的探讨非典型腺细胞(AGC)在宫颈细胞学检查中的诊断意义。方法回顾性分析自2015年9月至2018年8月沈阳市妇婴医院病理科宫颈液基细胞学检查资料库中的85 391例样本的资料,其中,AGC患者212例,随诊有组织学病理81例。分析细胞学检查与组织病理学的诊断结果,以及组织学来源与患者年龄的关系。结果细胞学诊断AGC患者212例,非典型腺细胞-宫颈来源43例(20.28%),非典型腺细胞子宫-子宫内膜来源2例(0.94%),非典型腺细胞倾向瘤变22例(10.38%),非典型腺细胞-来源不明14例(6.60%)。组织学病理随诊81例,良性病变47例(58.02%),癌前病变18例(22.22%),恶性肿瘤16例(19.75%),其中,10例来源于宫颈、6例来源于子宫内膜。未发现子宫内膜非典型增生。根据年龄分组,年龄≥40岁患者的恶性病变来源有显著差异(P<0.05),在宫颈来源癌前病变中,其检出率随年龄增加而增加。结论细胞学AGC随诊中,病理组织学为恶性的多为宫颈腺上皮病变,少数为子宫内膜病变,年龄≥40岁患子宫内膜腺癌的风险增高。
作者 王牧 宦大为
出处 《临床军医杂志》 CAS 2019年第9期985-986,988,共3页 Clinical Journal of Medical Officers
基金 沈阳市科学计划项目(2016)
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