子宫内膜癌诊刮与手术切除标本病检结果比较

Comparison of Pathological Results Between Curettage and Surgical Resection Specimens of Endometrial Carcinoma

目的比较诊刮与手术切除标本病检对子宫内膜癌的诊断结果。方法以2020年9月-2022年9月鹰潭市余江区人民医院收治的40例子宫内膜癌患者为研究对象,依次行诊断性刮宫与手术切除标本病理检查,比较其病检结果,分析诊刮与手术切除标本病检在分级诊断及分型诊断中的一致性。结果本次检测中共有32例受检者的诊刮与手术切除标本病检结果一致,均显示为子宫内膜癌阳性,占比80.00%。经Kappa检验,诊刮与手术切除标本病检的分级诊断一致性一般(Kappa=0.241)。诊刮与手术切除标本病检的分型诊断一致性中等(Kappa=0.482)。结论子宫内膜癌诊刮与手术切除标本的病检结果不完全一致,二者在疾病分级与分型诊断中的一致性不高。

Objective To compare the diagnostic results of curettage and surgical resection specimens for endometrial carcinoma.Methods From September 2020 to September 2022,40 patients with endometrial carcinoma admitted to Yujiang District People's Hospital of Yingtan City were selected as the research objects.The pathological examination of diagnostic curettage and surgical resection specimens was performed in turn.The results of pathological examination were compared,and the consistency of pathological examination of diagnostic curettage and surgical resection specimens in grading diagnosis and typing diagnosis was analyzed.Results In this test,the curettage results of 32 patients were consistent with the pathological examination results of surgical specimens,and all of them were positive for endometrial cancer,accounting for 80.00%.According to Kappa test,the consistency of grading diagnosis between curettage and surgical specimen examination was general(Kappa=0.241).The consistency of histological diagnosis between curettage and surgical resection specimen was medium(Kappa=0.482).Conclusion The results of pathological examination of endometrial cancer curettage and surgical resection specimens are not completely consistent,and the consistency of the two in the diagnosis of disease classification and classification is not high.