宫颈OCT诊断出病理漏诊的宫颈高级别鳞状上皮内病变1例报道

A case pathologically missed was diagnosed as cervical high-grade squamous intraepitheral lesion by OCT

宫颈癌是危害女性身心健康的主要癌症之一,如何进行有效的筛查仍是妇产科医生面临的重要问题。光学相干层析成像技术(optical coherence tomography,OCT)作为一种实时、无创的在体宫颈检测技术,正在受到医学界越来越多的关注。本文通过描述1例阴道镜下宫颈组织活检病理结果为阴性,但是OCT检查发现高危病变,并最终通过诊断性切除术确认为宫颈高级别鳞状上皮内病变(High-grade squamous intraepithelial lesion,HSIL)的病例,探讨OCT检查在宫颈癌前病变检查中的诊断价值。

Cervical cancer is one of the major cancers that endanger women’s physical and mental health.How to carry out effective screening is still an important issue facing gynecologists.Optical coherence tomography(OCT) is attracting more and more attention in the medical field as a real-time and non-invasive in-vivo cervical detection technology.In this report,by describing 1 case of cervical biopsy under colposcope pathological results were negative,but light super OCT examination revealed high-risk lesions,and finally confirmed by diagnostic resection for high level cervical squamous intraepithelial lesions(high-grade sequamous intraepithelial lesion,HSIL) of cases,to probe into diagnostic value of ultra light OCT examination in cervical precancerous lesion.