Wells Michael, Brown Laurence J R
Division of Genomic Medicine, University of Sheffield, United Kingdom.
Int J Gynecol Pathol. 2002 Oct;21(4):360-7. doi: 10.1097/00004347-200210000-00005.
There is continuing interest in the study of adenocarcinoma of the cervix and its precursors because of its increase in incidence, both absolute and relative, to squamous neoplasia and the complexity of benign glandular lesions with which endocervical neoplasia may be confused. Investigative techniques may be applied as aids to diagnosis, as prognostic markers, and to further our understanding of etiopathogenesis. This article focuses on recent developments in the four areas of epithelial glycoproteins, molecular markers, cell proliferation markers, and human papillomaviruses as applied to endocervical pathology. Although immunohistochemistry remains dominant, a wide range of other techniques is discussed.
由于宫颈癌及其癌前病变的发病率相对于鳞状上皮肿瘤在绝对值和相对值上均有所上升,且宫颈内膜肿瘤可能与之混淆的良性腺性病变较为复杂,因此对其研究一直备受关注。研究技术可作为诊断辅助手段、预后标志物,并有助于加深我们对病因发病机制的理解。本文重点关注上皮糖蛋白、分子标志物、细胞增殖标志物和人乳头瘤病毒这四个领域在宫颈内膜病理学中的最新进展。尽管免疫组织化学仍然占据主导地位,但也讨论了广泛的其他技术。