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本文选择过去十年期间42例间质浸润小于3mm,没有血管和淋巴管受累的病例作为研究对象,对其脱落细胞学进行了再评价.1974年美国妇科肿瘤协会将宫颈微小浸润癌作定义为:癌细胞在一处或多处自基底膜算起,向下侵及间质的深度不超过3mm,没有累及血管和淋巴管.也就是说没有潜在的转移,通过根治性子宫切除术可获得有效治疗.Johnston 及其同事Patten 和Ng 等认为子宫颈早期浸润鳞癌具浸润深度在5mm 以上者,细胞学能反映出大约87%组织学显示的恶性特征。然而根据koss 的经验,用脱落细胞学推测微小浸润癌是不准确的,应用价值有限。
This article selected 42 cases of interstitial infiltration of less than 3mm, no blood vessels and lymphatic involvement in the past ten years as a study object, its exfoliated cytology were re-evaluated the American Association of Gynecologic Oncology in 1974 the micro-invasive cervical cancer is defined as : Cancer cells in one or more from the basement membrane, down invasion and the depth of the stroma of not more than 3mm, did not involve blood vessels and lymphatic vessels. In other words, there is no potential metastasis, by radical hysterectomy available Effective treatment.Johnston and colleagues Patten and Ng so that invasive early invasive squamous cell carcinoma of the cervix with a depth of 5mm or more, cytology can reflect the malignancy of about 87% of histological features. However, according to the experience of koss, exfoliative cytology speculated that micro-invasive cancer is not accurate, the application value is limited.