Seitz J F, Delpero J R, Giovannini M, Houvenaeghel G, Hartmann B, Piana L
Service de Gastroentérologie, Institut Paoli-Calmettes, Marseille.
J Gynecol Obstet Biol Reprod (Paris). 1992;21(5):524-6.
One hundred and ninety two colposcopic examinations carried out on 183 patients of whom 140 had carcinoma of the cervix, 26 carcinoma of the endometrium and 17 carcinoma of the ovaries were analysed in order to assess the value of colposcopy in patients with gynaecological cancer. The mean distance from the edge of the anus that was looked at was 45 cms--the range being from--130. Out of all the systematic examinations that were carried out before any treatment was started, 103 were for cervical cancer and among these invasion of the rectal mucosa was found in two cases (1.9%). Twelve cases of external pressure on the rectum and 9 cases of recto-colic polyadenomata (8.7%) of which one was malignant. Out of the 14 colposcopies that were carried out for carcinoma of the endometrium one case of rectal invasion was found and one case of external compression. In the 12 cases of cancer of the ovary 2 were found to have recto-colic spread, 1 external compression and 1 malignant polyadenoma. All these cases of spread to the rectum and colon were diagnosed in advanced cases (stage III or IV). In the 63 examinations carried out on follow-up the most common warning sign was a rectal discharge and the most commonly found lesion in the rectum was actinomycotic inflammation of the rectum. The 5 cases of recurrence in the rectum expressed themselves most often by the rectal syndrome.(ABSTRACT TRUNCATED AT 250 WORDS)
对183例患者进行了192次阴道镜检查，其中140例为宫颈癌患者，26例为子宫内膜癌患者，17例为卵巢癌患者，旨在评估阴道镜检查在妇科癌症患者中的价值。观察的距肛门边缘的平均距离为45厘米，范围为130厘米。在开始任何治疗前进行的所有系统检查中，103例针对宫颈癌，其中2例（1.9%）发现直肠黏膜受侵。12例直肠受到外部压迫，9例直肠结肠息肉样腺瘤（8.7%），其中1例为恶性。在为子宫内膜癌进行的14次阴道镜检查中，发现1例直肠受侵和1例外部压迫。在12例卵巢癌中，发现2例有直肠结肠扩散，1例外部压迫和1例恶性息肉样腺瘤。所有这些直肠和结肠扩散病例均在晚期（III期或IV期）被诊断出来。在63次随访检查中，最常见的警示信号是直肠分泌物，直肠中最常发现的病变是直肠放线菌炎症。直肠复发的5例最常表现为直肠综合征。（摘要截短于250字）
