Pairwuti S
Department of Obstetrics & Gynaecology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 1991 May;74(5):248-52.
Using the VCE technique, the Pap smears of 249 women with abnormal ovaries were examined at the Cytological Laboratory, Siriraj Hospital. The cases, ranging in age from 15 to 85 years (the mean age being 42.1 +/- 14.7 years), were diagnosed as follows: 49 cases with cysts, 89 cases with tumours and 111 cases with cancer. The mean ages of the women with cysts, tumours and cancer of the ovaries were 34.0 +/- 8.6, 37.2 +/- 12.8 and 49.5 +/- 14.8 years, respectively. The percentages of women with cysts, tumours and cancer diagnosed cytologically as having a normal smear were 44.9, 28.1 and 23.4; and infection and inflammation of abnormal ovaries 49.0, 49.4 and 41.5, respectively. The percentages of those with abnormal cells at the uterine cervix were 6.1, 21.4, and 31.5; endometrial adenocarcinoma 0, 1.1 and 0; and ovarian adenocarcinoma 0, 0 and 3.6, respectively. Although Pap smear examination using the VCE technique is sensitive in the early detection of cervical cancer, it is not a sensitive method in the detection of ovarian cancer.
在诗里拉吉医院细胞学实验室，运用液基薄层细胞学检查（VCE）技术对249名卵巢异常女性的巴氏涂片进行了检查。这些病例年龄在15至85岁之间（平均年龄为42.1±14.7岁），诊断结果如下：49例囊肿，89例肿瘤，111例癌症。卵巢囊肿、肿瘤和癌症女性的平均年龄分别为34.0±8.6岁、37.2±12.8岁和49.5±14.8岁。细胞学诊断为涂片正常的囊肿、肿瘤和癌症女性的百分比分别为44.9%、28.1%和23.4%；卵巢异常出现感染和炎症的百分比分别为49.0%、49.4%和41.5%。子宫颈出现异常细胞的百分比分别为6.1%、21.4%和31.5%；子宫内膜腺癌分别为0、1.1%和0；卵巢腺癌分别为0、0和3.6%。尽管运用VCE技术的巴氏涂片检查在宫颈癌早期检测中很敏感，但在卵巢癌检测中并非敏感方法。
