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[子宫颈癌前病变和癌组织学结构的细胞学判定方法]

[Cytologic method for determination of histological structure in precancer and cancer of the cervix uteri].

作者信息

Novik V I, Chepik O F

出版信息

Vopr Onkol. 1976;22(10):43-51.

PMID:1014493
Abstract

The authors studied comparatively cytologic and histological findings in 164 patients in whom pretumor lesions (82) and cervical cancer (82) were revealed. The precision of cytologic diagnosis of pretumor lesions was 95.1 +/- 4.8%, of cancer--91.4 +/- 6.2%. Of 95 observations in which epithelial atypia, from proliferation to cancer, was detected the degree of cell atypia was correctly determined cytologically in 82.1 +/- 8.1% of observations, the degree of differentiation--in 85.2 +/- 7.2%, both factors--in 68.4 +/- 9.5%. Of 67 observations, in which cervical cancer was correctly diagnosed cytologically, the precision of prognosticating the presence of preinvasive and invasive cancer was 86.5 +/- 8.4%, while the degree of differentiation was diagnosed correctly in 83.5 +/- 9.0%, the histostructure being determined precisely in 71.6 +/- 11%.

摘要

作者对164例患者的细胞学和组织学检查结果进行了比较研究,这些患者中发现了肿瘤前病变(82例)和宫颈癌(82例)。肿瘤前病变的细胞学诊断准确率为95.1±4.8%,癌症的细胞学诊断准确率为91.4±6.2%。在95例检测到从上皮细胞增生到癌症的上皮异型性观察中,细胞异型性程度在82.1±8.1%的观察中通过细胞学正确判定,分化程度在85.2±7.2%的观察中正确判定,两个因素均在68.4±9.5%的观察中正确判定。在67例细胞学正确诊断为宫颈癌的观察中,预测浸润前癌和浸润癌存在的准确率为86.5±8.4%,分化程度正确诊断率为83.5±9.0%,组织结构准确判定率为71.6±11%。

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