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[目的]探讨宫颈微偏腺癌(MDA)的临床特征、诊断、治疗及预后。[方法]回顾性分析8例子宫颈微偏腺癌的临床病理资料。[结果 ]子宫颈微偏腺癌占同期收治宫颈腺癌的4.0%,临床主要症状为阴道分泌物增多及不规则或接触性阴道出血。病理特征为黏液腺体增生浸润肌组织、细胞异型性小。本组病例均经病理确诊,其中4例行手术+放化疗,4例行手术+化疗。[结论 ]MDA诊断应结合临床表现、影像学检查及细胞组织学,对高度怀疑MDA者应取深部组织活检或宫颈锥切以明确诊断,早期诊治预后较好。
[Objective] To investigate the clinical features, diagnosis, treatment and prognosis of cervical micro-adenocarcinoma (MDA). [Method] The clinical and pathological data of 8 cases of cervical micro-adenocarcinoma were retrospectively analyzed. [Result] Cervical micro-adenocarcinoma accounted for 4.0% of cervical adenocarcinoma treated in the same period. The main clinical symptoms were vaginal discharge and irregular or contact vaginal bleeding. Pathological features of mucus gland hyperplasia infiltration of muscle tissue, cell atypia. The patients were confirmed by pathology, including 4 cases of surgery + radiotherapy and chemotherapy, 4 cases of surgery + chemotherapy. [Conclusion] The diagnosis of MDA should be combined with clinical manifestations, imaging examination and cell histology, deep skeletal biopsy or conization of the cervix should be taken for the diagnosis of highly suspected MDA, the prognosis of early diagnosis and treatment is better.