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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 analyze the pathological features of 58 cases of cervical cancer, summarize the pathological features of cervical cancer and provide a reliable reference for clinical diagnosis and treatment of diseases, and to improve the survival rate of patients. Methods: The clinical data of 58 cases of cervical cancer were analyzed retrospectively. The pathological diagnosis was based on WHO classification of uterine body tumor (2003). All patients were divided into control group and study group by age, control group (46 cases)> 35 years old, and study group (12 cases) ≤35 years old. Results: A total of 49 squamous cell carcinomas in both groups were found, accounting for 84.5% (49/58) in all patients. A total of 8 cases were adenocarcinomas, accounting for 13.8% (8/58). 37 cases (80.4%) in the control group ≤Ⅱa, 7 cases (15.2%) ≥Ⅱb. 11 cases (91.7%) in the study group were in stage IIa, and 1 case (8.3%) in stage IIb. There was significant difference between the two groups (P> 0.05). Conclusion: Cervical cancer is mainly divided into squamous cell carcinoma and adenocarcinoma. Histological diagnosis is the gold standard for the diagnosis of cervical lesions. The earlier the clinical clinical stage, the more conducive to the choice of treatment methods, the quality of life of patients will also be greatly enhanced.